Ortho Billing E/M in ER

kmarko

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Our ortho doc was asked by the ED doc to see a patient in the ED....the ED doc billed out for the facility E/M (9928*) and we were always told to bill out the outpatient (99201-99215) E/M for the ortho doc if it wasn't an insurance company that took consult codes. But after researching we are finding that we should be billing the ED E/M's as well as ED doc. Can somebody help me out on this?! TIA! Kerry :)
 

purplescarf23

Networker
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Bill the ED codes if they do not accept the consults. We have been doing this for years w/o problem :) I don't have documentation to prove its the right route but works for us here in Washington state.

Kelsey, CPC
 

mitchellde

True Blue
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It is stated in the MCM manual that you use the ER codes when the ER physician requests your physician to see the patient, these were never suppose to be billed as a consult only as ER.
 
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