Results 1 to 7 of 7

surgeon E/M in the emergency dept

  1. #1
    Default surgeon E/M in the emergency dept
    New Call-to-action
    A patient comes to the ED and the general surgeon on call is called down to evaluate the patient. The surgeon decides to admit the patient for surgery. Would it be correct to code the surgeon's E/M with an ED code (99281-99285)?

    Thank you!

    Shena Betts, CPC

  2. #2
    Would it make more sense to code it as the admit with the Decision for surgery modifier and the pos would be the admit location?

  3. #3
    I don't know, would it? The actual service took place before the patient was admitted. Do you know if there is a guideline from Medicare on this specific scenario?

    Shena Betts, CPC

  4. #4
    North Carolina
    F. Emergency Department Physician Requests Another Physician to See the Patient in Emergency Department or Office/Outpatient Setting

    If the emergency department physician requests that another physician evaluate a given patient, the other physician should bill an emergency department visit code. If the patient is admitted to the hospital by the second physician performing the evaluation, he or she should bill an initial hospital care code and not an emergency department visit code.

    Section 30.6.11 F
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

  5. #5
    Default I Agree
    I was just reading the article on the American College of Surrgeons Division of Advocacy and Health Policy and that is what it said but this is the Medicare guidelines. Thanks for the interesting answers.

  6. #6
    As Rebecca showed, it all "rolls into" the admit.

  7. #7
    Thank you! Rebecca, that is exactly what I was looking for.


Similar Threads

  1. Emergency Dept. Services
    By punkyboo in forum E/M
    Replies: 2
    Last Post: 05-10-2010, 11:38 AM
  2. Emergency Dept. codes??
    By kjferg47 in forum Emergency Department
    Replies: 2
    Last Post: 09-29-2009, 10:51 AM
  3. Emergency Dept
    By seegaye in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-09-2009, 08:02 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.