I am not sure why you find it necessary to be so rude in your replies. However I have given you numerous sources that support why you do NOT use vol III codes for ER facility. I am really interested in what OFFICIAL source you are using. Just because your facility uses them with your encoder does not mean these are used for reporting facility outpatient procedures. Per the federal register:
B. ICD–9–CM, Volume 3 (Procedures)
Inpatient hospital services procedures
are currently coded using ICD–9–CM
Volume 3, which was adopted as a
HIPAA standard in 2000 for reporting
inpatient hospital procedures. Current
Procedural Terminology, 4th Edition
(CPT–4) and Healthcare Common
Procedure Coding System (HCPCS) are
used to code all other procedures. The
ICD–9–CM procedure codes, which are
maintained by CMS, are three to four
digits long and organized into chapters
by body system (for example,
musculoskeletal, urinary and circulatory
systems, etc.). For a discussion of the
structure of the ICD–9–CM procedure
code set, please refer to the August 22,
2008 proposed rule (73 FR 49798).
Also I worked in the facility ER and we did not use Vol III ever for the ER procedures. The encoder however was set for DRG reporting and did report and require the Vol III codes until we pointed out that this was incorrect. The IT department then corrected this so that the encoder could be set for APC reporting and the Vol III codes never appeared again. This is what I referr to in your case a facility specific issue. If you are putting them in your system them someone in the billing department must remove them before the claim can be submitted or it will reject. This is inefficient and can be corrected at the coding level.
Please try to be professional and respectful in your comments in the future.