Hospitals are instructed to use the CPT book to code just as if you were a physician with the appropriate revenue code for where the service was given. So in other words, if a doctor not employed by the hospital, both the physician and the hospital should be billing identical. One for the professional and one for the technical component. The E&M is tricky. The guidelines state that each hospital should create a level charge protocol for ER, Clinics, etc... corresponding to the instructions from AMA and the E&M guidelines from medicare.
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