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Thread: Multi ED Visits on the Same Day

  1. #1

    Default Multi ED Visits on the Same Day

    AAPC: Back to School
    I am looking for some documentation/help that states if a patient comes into the ED more then one time for the same diagnosis on the same day that you roll them into one visit. The hospital that I work for wants me to bill each visit separately. I have shown my supervisor who is not a coder CMS documentation but that was not good enough due to was not specific enough. Any help would be appreciated...

  2. #2
    Join Date
    Apr 2007
    Bennington, VT


    Try reviewing the following document from Medicare:


    See page 11.

    We apply the 24 hour rule to outpatient ED visits and bill for only one visit, as explained in the above document, when patient comes in for a second visit; for the same reason; on the same day. The ED physicians are employed by the facilily and are considered "group practice".

    Hope this helps.

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