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Thread: ER consult

  1. #1
    Join Date
    Apr 2007
    Kachina Coders

    Default ER consult

    AAPC: Back to School
    My Docs are hospitialist and they were asked to do a consult on a patient that was sen in the ER. My question is this, what code would you use?
    Last edited by Cynthia A; 12-08-2009 at 10:40 AM.
    Mesa, AZ

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default It depends

    Okay -- ER doc requests hospitalist to consult on patient in the ER.

    OPTION 1: Hospitalist sees patient in ER, provides his opinion/advice to ER doc who continues management/discharge from ER. Code outpatient consultation 9924x

    OPTION 2: Hospitalist sees patient in ER, and decides to ADMIT patient to hospital. Code only the Initial Hospital Visit 9922x.

    OPTION 3: ER doc is NOT billing anything, because Hospitalist handled all services provided in ER that day.
    (A) patient seen in ER and discharged from ER - code ER codes 9928x
    (B) patient seen in ER and hospital decides to admit - code only Initial Hospital Visit 9922x

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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