JSHUM
New
Hello,
Is it appropriate to code 99284 for the physician charge and 99285-25 plus 93971 for facility charge when the evaluation was done by the PA under the same doctor on the same day at the emergency department? I'm not too familiar with EM level coding for Emergency Department so your input would be appreciated. ED is claiming they can do that because one is a physician charge and one is a facility charge. Also, the level of EM service seems too high as well for a visit concerning if the patient was experiencing a pulled muscle or possible blood clot in a leg. The patient was alert, functioning, and in a non emergency state.
Is it appropriate to code 99284 for the physician charge and 99285-25 plus 93971 for facility charge when the evaluation was done by the PA under the same doctor on the same day at the emergency department? I'm not too familiar with EM level coding for Emergency Department so your input would be appreciated. ED is claiming they can do that because one is a physician charge and one is a facility charge. Also, the level of EM service seems too high as well for a visit concerning if the patient was experiencing a pulled muscle or possible blood clot in a leg. The patient was alert, functioning, and in a non emergency state.