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Thread: Emergency Room type B billing

  1. #1
    Join Date
    Apr 2007

    Default Emergency Room type B billing

    AAPC: Back to School
    What CPT codes are to be billed for the ER docs professional billing for visits in a type B emergency room? Are they the Emergency Room codes OR the outpatient visit codes? I know on the facility side they are to bill out Gcodes to Medicare for type B. Thanks for your help!

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Any ER encounter for the physician claim is to have the E&M codes in 99281-99285 range

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    99281 - 99285 can only be used if the type B ED is available 24 hours a day, per AMA guidelines in the CPT book. If not available 24 hrs, then 99201 - 99215 must be used.

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