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Academic Hospital - ER Coding

  1. #1
    Default Academic Hospital - ER Coding
    Medical Coding Books
    If a psychiatrist or multiple psychiatrists (same group, billing under 1 tax ID) sees 1 patient on the same date of service at the ER what code(s) would you bill?

    Our patients come into the ER and sometimes stay for awhile. Within an 18-hour period they may be seen between 2 and 3 times (initial visit plus follow-ups).

    Thanks!
    Donna E. Young, CPC

  2. #2
    Default
    It depends on what services they are providing? Are they doing EM services, or are they actually doing initial assesments and sorts of therapy?

  3. #3
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    They do initial evals and E/M services. I told the doctor asking this question that if a patient is seen more than 1 time in a day all services would be rolled into 1 code. The concern is if they are doing a 90801 they won't be able to bill anything in addition to that for the follow-up visits.

    Thanks!
    Donna E. Young, CPC

  4. #4
    Location
    Louisville, KY
    Posts
    1,101
    Default
    It would not really matter if additional services are furnished on this same date by the same provider group. Typically the services will ultimately be bundled into one E/M and/or CPT per DOS. While there are exceptions to that coding scenario, I am not certain you will find the documentation could support multiple codes/services by the same provider set, same day. Perhaps I am letting something slip out of mind right now, but this would be a great place to discuss any I've overlooked.

  5. #5
    Default
    Kev is correct far as I know. Not sure what I was thinking when I posted... all the services that day, would end up bundled by the psychiatrists

  6. #6
    Default
    Thanks everyone for the comments. I agree, bundled.
    Donna E. Young, CPC

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