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Thread: DOA - how to code pro fee?

  1. #1
    Join Date
    Apr 2007

    Default DOA - how to code pro fee?

    AAPC: Back to School
    How does one code the pro fee for a patient who was deceased on arrival in the ER? (She passed during the ambulance ride in.)

    My doctors did the Death Certificate, and a T-sheet that documents that the patient had no life signs when she arrived.

    Would I level it based on the information on the T-sheet? Or is there a more clear cut way to code these?

    (I cannot use 99238-99239 - this patient was never admitted.)

    This topic was kicked around once before - but I wasn't satisified with the answers:

  2. #2


    DOA pro fee for my company is a 99283

  3. #3


    Most of the time my DOA's have very limited documentation. Typically, they state the down time, No pulse, Asystole, etc. We do not bill for pronouncement of DOA. In my 11 years as ER coder, the DOA (sudden or unattended death) always gets denied. Are you using cardiac arrest as a diagnosis on the claims that are getting paid?


  4. #4



    I am using whatever diagnosis the physican gives me and, yes, a majority of the time it is cardiac arrest.

  5. #5
    Join Date
    Apr 2007
    Hartford, CT

    Default RE: Doa how to code pro fee?

    i would agree that you should be thinking in the level three range, we typically don't see higher than that unless patient is still being worked on and then they pronounce.
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  6. #6


    I was taught that if the patient is DOA, there is no exam, therefore no code.

  7. #7


    As the doctor signed the death certificate, he needed to at least minimily exam the patient for any signs of life. We code 99282, as it is straightforward and MDM is low

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