The Guidelines for ED Professional and Facility coding cover a lot of ground. Basically for Professional services; most coders follow the CPT and 95 Medicare Guidelines. On the facility side there are no specific guidelines in determining Levels except that the CPT codes are used. There are a number of approaches including point systems, matrixes and the ACEP guidlines. You might look at the ACEP web site for their facility guidelines.
The basis for coding a procedure in addition to an E&M is that there is a separately identifiable procedure in addition to the E&M as the modifier 25 describes.
But if you are just getting into this I would reccomend the AAPC practicum for the CEDC certification as an intoduction to ED coding. On the facility side, there are resources on the internet. And you might look at my article in The Coding Edge January edition and one coming up in April.
- ICD-10 Training
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join