Results 1 to 3 of 3

TC Component of ED Visits

  1. #1
    Question TC Component of ED Visits
    Medical Coding Books
    I've got a question regarding the PC/TC billing for ED Visits. Our Professional (PC) portion of the ED visits is outsourced, so our hospital is only reporting for the Technical side (TC). Recently I've seen a spike in the use of Critical Care (99291) and I'm now also beginning to see denials stating that 99291 is for the professional component only. Any suggestions? Our codeers follow the ACEP guidlines, but I'm wondering if they are not meant for professional coding only?
    Are there guidelines for the facility side? Any help is appreciated -Thank you

  2. #2
    Check out the post in this forum. I believe it is under "Facility ER E/M coding". It has a lot of info that might be useful to answer your question.

  3. #3
    we also code for critical care in our ER, and we do not receive denials for facility use. you just have to follow the same guidelines for critical care as a physician would, i.e., time and definition of critical care. does your facility have an E/M policy? CMS recommends that each facility develop a policy for this and follow it.

Similar Threads

  1. Component seperation
    By Callieb in forum General Surgery
    Replies: 2
    Last Post: 06-16-2015, 10:00 AM
  2. When coding the 26 component
    By DeniseML in forum Modifiers
    Replies: 0
    Last Post: 07-06-2010, 09:07 AM
  3. Exam component
    By krssy70 in forum E/M
    Replies: 4
    Last Post: 11-10-2009, 12:38 PM
  4. Professional Component
    By saave853 in forum Modifiers
    Replies: 3
    Last Post: 09-30-2009, 12:22 PM
  5. Yearly visits and E&M visits New Patient
    By jlv1980 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 07:38 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.