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Thread: ER visit or Initial ????

  1. #1

    Default ER visit or Initial ????

    AAPC: Back to School
    Report says "consultation report" can't code consult as it is Medicare. Pt comes to ER complaining of abdominal pain - after assesment it is decided pt to undergo laparoscopic cholecystectomy and perform intraoperative cholangiogram. Would this be a ER 99285 code with -57 or 99222 initial with a -57 ????

    Thank you !

  2. #2
    Join Date
    Apr 2007


    Was the decision for surgery by the consulting doctor or the ER physician?

    Thanks, Sue
    Susan Edwards, CPC, CEDC

  3. #3


    Consult trauma physician on staff who would then perform the surgery. Can you explain how it would be coded with both of your scenario's Consult or ER Phy ?

  4. #4

    Default Medical Coder

    The Er doctor performed the procedure. So you would bill Er visit with the code. Just make sure it was not a critical care code.

  5. #5
    Join Date
    Apr 2007
    Seattle First Hill


    Did your doctor admit the patient? If so then you would bill the admit code with a -57 modifier.

    ~Kirsten, CPC

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