AAPC - Back to school
Results 1 to 5 of 5

Thread: Multiple Physicians, Same Patient in the ER

  1. #1

    Default Multiple Physicians, Same Patient in the ER

    AAPC: Back to School
    Is there any written material that clearly states that if a specialist is called into the Emergency Room and it is not a consult, that both the ER physician and the specialist can charge ER codes?

    When I took my CPC in 2006 the manual was clear that "when a patient is seen by two physicians in the ED, the ED evaluation and mangement code is usually only employed by the emergency department physician to describe the level of service. The other physician would use a code from the E/M catagory that best describes the respective services(consultation or new/established patient office/outpatient."

    Thank you,

  2. #2


    Hi Marci:


    30.6.11 - Emergency Department Visits (Codes 99281 - 99288)
    (Rev. 1875, Issued: 12-14-09, Effective: 01-01-10, Implementation: 01-04-10)
    A. Use of Emergency Department Codes by Physicians Not Assigned to Emergency Department
    Any physician seeing a patient registered in the emergency department may use emergency department visit codes (for services matching the code description). It is not required that the physician be assigned to the emergency department.

  3. #3


    Can this be used for Commerical payors as well?


  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    yes commercial as well. It is not a consult because you cannot meet all the requirements of a consult. Yes you have the request, but the ER physician is not asking you to RENDER back to him a decision or an opinion about some issue he is unsure about, and your physician does not provide then a formal letter of REPORT that goes back to the ER physician detailing his findings and recommendations. therefore it is an ER level when the ER physician calls your physician in. If your physician told the patient to meet him in the ER and the patient is not triaged as an ER patient then it would be office level codes.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5


    Thank you so much for your help.

Similar Threads

  1. Two physicians, two hospitals, same practice, same patient
    By SKB1sh0p in forum Emergency Department
    Replies: 1
    Last Post: 07-29-2014, 12:56 PM
  2. Two physicians seeing a patient in ER
    By orbit612002 in forum Auditing General Discussion
    Replies: 1
    Last Post: 12-13-2012, 11:40 AM
  3. Replies: 2
    Last Post: 04-24-2012, 09:48 AM
  4. Two physicians see patient same day...
    By Tricia13 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-06-2010, 04:23 PM
  5. how to code a patient visit when the patient is seen by two physicians
    By lnaschke in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-25-2009, 09:39 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.