Results 1 to 2 of 2

Coding ER visits with Initial hospital care

  1. Default Coding ER visits with Initial hospital care
    Exam Training Packages
    Need assistance with ER coding with initial hospital care.

    CPT says basically that anything that happens prior to admit on the same calendar day is lumped into the initial hospital care code. Is that only if the same physician treats the patient prior to admit or can one physician, who treated the pateint in the ER, bill the an ER code and an another bill the initial hospital care code? Both physicians are in the same group. thanks in advance.

  2. #2
    Milwaukee WI
    Default Same group, same specialty?
    If they are in the same group and of the same specialty they are considered the same doctor, and you roll everything into the initial hospital visit code. In our practice, we would give to the doctor who saw the patient first. Some practices go by the physician who actually admitted. Still others look at the documentation and give it to the one who did the most work.

    If they are in the same group but of DIFFERENT specialties (e.g. Emergency Medicine and Cardiology) they each code for what they did.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Replies: 3
    Last Post: 07-09-2015, 07:40 AM
  2. NP's and initial hospital visits
    By LMBENHOFF in forum E/M
    Replies: 1
    Last Post: 03-02-2015, 08:46 AM
  3. Replies: 3
    Last Post: 04-13-2010, 12:28 PM
  4. ER Coding with Initial hospital care
    By alwin928 in forum Emergency Department
    Replies: 2
    Last Post: 09-21-2009, 06:05 PM
  5. Replies: 2
    Last Post: 01-21-2009, 07:39 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.