AAPC - Back to school
Results 1 to 5 of 5

Thread: E/M outpatient visit

  1. #1

    Question E/M outpatient visit

    AAPC: Back to School
    I'm hoping someone can help.
    Can I bill an established outpatient visit for my gastro doc?
    Here is discharge summary from Short Stay.
    30 year old female pt came in to outpatient short stay for scheduled colonoscopy with rectal bleed and anemia.
    hx of boderline hypertension. On toprol. Pt also has palpitations
    Physical exam done
    bp checked, murmur
    lung: clear
    abdomen: benign
    rectal: negative in office
    labs showed hg & hct of 10 & 31 mcv of 72
    Pt given a screening urine pregancy test which was positive and then a serum pregnancy test done. She was then deemed high risk for iv sedation. Then seen by ob/gyn who recommended not to undergo procedure
    consult: ob/gyn
    Procedure obviously never started and pt was discharged from short stay but doc examed her, ordered test and consult.
    Thanks in advance for any help!!!!

  2. #2


    Your doc provided you with a nicely done Patient Encounter Form and that does qualify for an E&M level. Darlene

  3. #3
    Join Date
    Apr 2007
    Boston, MA


    I would say yes - you can bill an outpatient visit. Was this patient previously seen by you doc (or another one in the group)? If so, that would make her an established patient.

  4. #4


    Thanks for your help. I would use the e/m code with a POS of 22 since it was a hospital short stay facility.

  5. #5


    What a way to find out you're pregnant!

Similar Threads

  1. difference between ambulatory visit and outpatient visit
    By savithanarayanan24@gmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-25-2014, 04:08 AM
  2. ER CPT or Outpatient visit
    By mpfaff in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-04-2012, 05:44 AM
  3. Outpatient visit/sent to Er
    By flittl in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-29-2012, 03:07 PM
  4. E/M Visit for outpatient hospital
    By traci.susong@gmail.com in forum Hematology/Oncology
    Replies: 2
    Last Post: 02-24-2011, 10:49 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.