AAPC - Back to school
Results 1 to 3 of 3

Thread: looking for Decision Tree or Algorithm

  1. #1

    Default looking for Decision Tree or Algorithm

    AAPC: Back to School
    Does anyone have a Decision Tree or any type of Algorithm for Hospital E&M coding. Like for Inpatient, Observation, ER. When to use the office Consults versus the Hospital Consults.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    the type of patient ie inpatient, outpatient, ER, Office, will determine your POS which in turn will determine what type of E&M code you select. Er is POS 23 and you use ER visit levels, Inpatient is 21 and you use Inpatient visit levels, Observation is 22 and you use either the observation admit and discharge or office levels. As far as consults go it now depends on who the payer is, If Medicare is involved then there is so no such thing as a consult anymore, and you have to aware of the other carriers that have adopted Medicare's policy on consults. I am not sure if this addresses your issue or not.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Daytona Beach, FL


    EM University has an Algorithm for Consults which is helpful in trying to determine which code to use. Hopefully this will help you.

    Jodi Dibble, CPC

Similar Threads

  1. vascular tree chart
    By carps14 in forum Cardiology
    Replies: 48
    Last Post: 04-12-2016, 09:39 AM
  2. Inf/Inj Billing Decision Tree or Cheat Sheet?
    By carpenter.jamie@live.com in forum Hematology/Oncology
    Replies: 1
    Last Post: 07-25-2014, 12:57 PM
  3. vascular tree
    By marty3073 in forum Cardiology
    Replies: 0
    Last Post: 03-18-2012, 06:17 PM
  4. MVA struck by tree
    By vj_tiwari in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-20-2010, 09:11 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.