Results 1 to 3 of 3

Mulitple E/M for ER same visit.

  1. Default Mulitple E/M for ER same visit.
    Medical Coding Books
    Can anyone help me. I have a hospital that states that they can bill 2 E/M at the same encounter for same visit by same physician.
    99283 for hypertension
    99284 for hypertension
    Does anyone know where this would be in writing that you can not charge. Or is this a matter of just meeting the criteria for each charge??
    Thanks, Jerry

  2. #2
    I am really curious on how you could possibly meet the criteria for 2 different levels of service for the same problem in the same visit. This sounds impossible to me.

    How would you get the service paid and not get rejected as a duplicate? I will do some checking and see if I can find anything on this scenario but honestly this sounds shady to me at best.

    Laura, CPC

  3. #3
    East Stroudsburg, PA
    Is there separate documentation for the E&M encounters? I copied the below section from the Highmark Medicare site in reference to E&M. I have had encounters where the patient was seen in the morning and returned in the afternoon for a different or worsening condition, this is acceptable to report to Medicare.

    Highmark Medicare Services would not expect to see two E/M services reported on the same date on a routine basis. A second E/M service would be billed for rare circumstances only. If a second E/M service is required on the same date of service, the documentation should clearly provide evidence that the second E/M service occurred, the reason for the additional E/M service, and documentation of the medical necessity of the second E/M service. If a second E/M service is reported on the same date, the service could initially be denied.

    The link for the E&M center through Medicare is:


    Hope this helps!!
    ~Rebecca, CPC, COSC, CPC-I

    "To the world you may be one person, but to one person you may be the world" ~Anonymous

Similar Threads

  1. Mulitple POS
    By PhylMart Services in forum Billing/Reimbursement
    Replies: 0
    Last Post: 08-21-2013, 01:06 PM
  2. Mulitple Hernia repair
    By herrera4 in forum General Surgery
    Replies: 0
    Last Post: 04-30-2012, 12:11 PM
  3. mulitple excision
    By snjberry in forum Dermatology
    Replies: 0
    Last Post: 06-22-2011, 11:43 AM
  4. Mulitple Thombectomies
    By graciejean in forum Cardiovascular Thoracic
    Replies: 3
    Last Post: 06-08-2010, 09:59 PM
  5. Mulitple procedures+E/M
    By thefosterfarm in forum Family Practice
    Replies: 2
    Last Post: 07-04-2008, 06:23 PM

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.