The physician has to have privileges in the ED in order to treat patients in the ED. Without ED privileges, admitting privileges don't matter.... we have contract physicians who supply coverage for our ED, and we have physicians not part of that contract who also have privileges in the ED, and they bill for their services in the ED. If the physician has been granted privileges by the medical staff to treat patients in the ED, then they would have to use 99281-99291. Hope that helps!
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