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er visit

  1. Default er visit
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    Maybe someone here can help me. I had one of our doc due a consult on a medicare pt in the er since medicare no longer accepts consults codes and because the pt went on to be discharged and not admitted to the hospital i billed an er visit. For the life of me i can not get this claim to go thru medicare they keep saying it was deemed as being rendered in an incorrect place of service. I have used er as place of service i have even tried 22 as outpatient. anyone have any ideas?

  2. Default
    I thought ER POS was 23?

    Oops, sorry I mis-read your question. If you have already submitted with POS 23, then what E&M are you coding? The ER 99281-99285 codes? The OV/outpt 99201-99215 codes? According to the denial you have a mis-match between the E&M and POS
    Last edited by sbicknell; 06-14-2010 at 01:05 PM.

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    Quote Originally Posted by mshelly87 View Post
    Maybe someone here can help me. I had one of our doc due a consult on a medicare pt in the er since medicare no longer accepts consults codes and because the pt went on to be discharged and not admitted to the hospital i billed an er visit. For the life of me i can not get this claim to go thru medicare they keep saying it was deemed as being rendered in an incorrect place of service. I have used er as place of service i have even tried 22 as outpatient. anyone have any ideas?
    did you use ER level (99281-99285) with the 23 POS?

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    yes 99284 with place of service 23.

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