Results 1 to 5 of 5

ER visit or Initial ????

  1. Default ER visit or Initial ????
    Medical Coding Books
    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
    Was the decision for surgery by the consulting doctor or the ER physician?

    Thanks, Sue
    Susan Edwards, CPC, CEDC, AAPC Fellow
    Swainsboro/Statesboro Georgia President

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

    ~Kirsten, CPC

Similar Threads

  1. OB initial visit
    By kdavidson in forum OB/GYN
    Replies: 3
    Last Post: 11-10-2011, 10:17 AM
  2. ER visit and Initial hospital visit
    By JCampbell in forum E/M
    Replies: 1
    Last Post: 07-18-2011, 09:42 AM
  3. Initial DX for ED visit
    By rview2003 in forum Emergency Department
    Replies: 1
    Last Post: 12-16-2010, 10:15 AM
  4. Initial OB Visit
    By sjmccarl52 in forum OB/GYN
    Replies: 4
    Last Post: 10-19-2009, 07:51 AM
  5. initial OB Visit
    By kbarron in forum OB/GYN
    Replies: 6
    Last Post: 01-08-2009, 11:15 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.