AAPC - Back to school
Results 1 to 3 of 3

Thread: 2 E&M's same day

  1. #1
    Join Date
    Apr 2007

    Default 2 E&M's same day

    AAPC: Back to School
    I have submitted this question before and still we are having problems. Dr Smith is a Emergency Room doctor and employed by our hospital. Patient is seen in the ER by Dr Smith. Dr Smith calls the patients primary doctor who is Dr. Jones. Dr Jones wants the patient admitted to the hospital. Dr Smith admits her to Dr. Jones. 2 hours later Dr. jones comes to the hospital and sees the patient and writes his H&P.
    Now the problem we are having is:
    1 ER fee-99281-99285 for Dr Smith AND 1 H&P fee-99221-99224 for Dr Jones

    Medicare denies one of the pro fees because they are on the same day.
    So my question is how do we bill and get paid for both pro fees?

  2. #2
    Join Date
    Apr 2007
    Baton Rouge


    Is the AI modifier being used on Dr. Jones's 9922X admit code?
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Dr Smith's specialty

    Also ... is Dr Smith listed with Medicare as an Emergency Medicine specialist? Or is he an Internal Medicine physician, just like the primary physician, and in the same practice?

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. ANOSCOPY & E&M svc done same day
    By PAULA FEDELE in forum Billing/Reimbursement
    Replies: 7
    Last Post: 03-16-2015, 01:15 PM
  2. Post T&A Hemorrhage Same Day as T&A
    By Anjelique in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 06-06-2012, 09:41 PM
  3. Replies: 0
    Last Post: 11-22-2011, 11:23 AM
  4. Replies: 3
    Last Post: 06-26-2009, 06:54 AM
  5. Admission E&M & Procedure same day
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 04-22-2008, 12:10 PM

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.