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E&m codes for trauma visits

  1. Default E&m codes for trauma visits
    Medical Coding Books
    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
    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
    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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