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Thread: E&m codes for trauma visits

  1. #1

    Default E&m codes for trauma visits

    AAPC: Back to School
    Is there a modifier to use with e&m codes for trauma visits by my trauma surgeons in order to get the maximum reimbursement?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    No there is no modifier you bill the level of care supported by the documentation and that will be the maximum reimbursement.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Critical Care

    You never code to get maximum reimbursement. You code based on the service documented. If they think they are doing "more," then they should document "more."

    Your trauma surgeons should be aware, for example, that if they have a critically injured patient for whom they provide critical care for 30 minutes or more, they can use the 99291-99292 critical care codes. IF ... Big, Red, IF ... they have appropriately documented that care.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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