Results 1 to 3 of 3

Procedure same day as ER

  1. #1
    Default Procedure same day as ER
    Medical Coding Books
    Trying to get feedback on how everyone is coding these. We have heard several places saying they bill these services differently and just courious how eveyone is coding these.

    When a patient has a procedure and an ER visit on the same day how are you coding this ?
    Are you coding both and attaching a -25 ? If so, why ?
    Are you coding both without a -25 ? If so, are they getting paid ?
    Are you coding just the procedure ?

    Also who are you billing for ?

    Last edited by cpccoder2008; 08-26-2009 at 12:58 PM. Reason: I wanted to post in ER but accidently post here.

  2. #2
    When a patient has a procedure and an ER visit on the same day how are you coding this ?

    I would use the appropriate e/m code with the appropriate 25/57 modifiers depending on the procedure that was performed

    Are you coding both and attaching a -25 ? If so, why ?

    not necessarily the 25, could be a 57--why??? because the e/m is separately reportable with a procedure appropriate documentation.

    this coding would be done for Ortho Surgeons
    Mary, CPC, CANPC, COSC

  3. #3
    According to several article's i have read you don't have to attach a -25 with ER and new patient visit's.
    page 24.

    o This modifier should not be submitted with E/M codes that are explicitly for new
    patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-
    99345. These services are not considered part of the global surgical policy.

Similar Threads

  1. E/M and procedure on the same day
    By in forum E/M
    Replies: 2
    Last Post: 05-18-2015, 02:24 PM
  2. Procedure on the same day...
    By nclb85 in forum Interventional Radiology
    Replies: 1
    Last Post: 07-31-2013, 07:11 AM
  3. Replies: 3
    Last Post: 05-24-2013, 06:48 AM
  4. Help with ov and procedure on the same day
    By jnieto625 in forum Family Practice
    Replies: 2
    Last Post: 01-05-2013, 06:09 AM
  5. Procedure goes into the next day
    By monbel in forum General Surgery
    Replies: 2
    Last Post: 09-24-2010, 03:25 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.