Wiki Trauma Activation charging

[ladymatthew]

question: I have a facility that is a registered level 1 trauma center trying to bill trauma activation for a patient along with EM 99282. The patient came in via amb (should have charged 99283) with a knee and head complaint after fall from a ladder. There was no trauma physician present on arrival..... only ER physician nurse and imaging staff. It was indicated on the trauma flow sheet that prehospital notification was given at 1225 and the ETA was 2 minutes and the arrival time was 1225. That didnt make much sense but anyhow...... they are billing rev code 681 because they are a registered Trauma I center however it just doesnt seem like the charge is substantiated. Please help