AAPC - Back to school
Results 1 to 4 of 4

Thread: New ED coder question

  1. #1

    Default New ED coder question

    AAPC: Back to School
    Hi, I understand that when coding for ED physcians I would code appropriate e/m with modifier 25 and appropriate procedure code.(ie e/m-25 with wound repair code)What happens when the nurse performs a procedure (ie n.g. insertion,standing orders or throat cultures,etc.) How and who would code it? Thank You

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    those types of procedures (well, maybe the insertion might)- don't necessitate the use of modifier .25 on the E/M. those are "part of the E/M".

    (the wound repair would require the use of the .25 mod)...
    Last edited by dmaec; 04-15-2009 at 07:51 AM. Reason: just clarifying a bit... :)
    Donna, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    When working in the ED you have to remember who you are coding for, if you are the physician coder then the nurse is not your resource and therefore her activity is not billable so no a 25 is not on the physician charge, however if you are coding for the facility then the nurse is your resource and if the procedure is a significant procedure (status S or T), then the facility E&M needs a 25 modifier if if it is performed by the nurse. I hope that answers the question maybe more than you wanted though!!

  4. #4


    Thanks, your replies do answer my question. The more info I get the better! Most likely I will be coding for the ER docs not the facility. So I'll be looking for E/Ms,and procedures that the docs performed and not worry about the nurse. Thanks again.

Similar Threads

  1. New coder / Question about documentation
    By Ccgerson in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-29-2015, 07:09 AM
  2. New cardiology coder question
    By Jalderman in forum Cardiology
    Replies: 8
    Last Post: 08-03-2011, 06:36 AM
  3. new coder has question on modifier
    By ggparker14 in forum Modifiers
    Replies: 2
    Last Post: 06-30-2011, 07:50 PM
  4. Question for coder
    By RyanW in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 10-01-2009, 05:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.