Wiki ER doc and spec visit in er

[kathleenl]

Good morning,

I am in need of some clarification regarding billing for a specialist that was called in to consult on a patient in the ER. The ER doc bills their 9928x, which e/m would I use for the specialist visit? I don't think another 9928x....would I use 99201-99205 instead?

Thanks for your help!

 

[RebeccaCross*]

Your specialist would report an ER visit...


F. Emergency Department Physician Requests Another Physician to See the Patient in Emergency Department or Office/Outpatient Setting

If the emergency department physician requests that another physician evaluate a given patient, the other physician should bill an emergency department visit code. If the patient is admitted to the hospital by the second physician performing the evaluation, he or she should bill an initial hospital care code and not an emergency department visit code.

Page 65

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

 

[kathleenl]

Thank you!