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Thread: Help Please

  1. #1

    Default Help Please

    AAPC: Back to School
    Can someone please help me on this, ER Dr. A did all the workup and he consulted Internal Med team pt was admitted, his E/M level is only 99283 (he isn't very good at documentation), as pt going up to floor pt collapsed Dr. B started CPR, Intubated, and did a Femoral line now I am kind of confused as to how to code for both Dr's , our hosp has a policy that the person who discharges pt his name is what is on the chg which is Dr. A, but this looks to me like critical care by Dr. B so I really don't know what I should do, can I ask Dr. B about critical care and if he says yes can I give Dr. A his E/M level I didn't think I could but not sure (both are ER Dr.s) we code for both facility and profee..any and all help is appreciated..alice

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Critical Care

    Critical Care time is EXCLUSIVE of any separately reportable procedures ... CPR, intubation and femoral line are all separately reportable procedures.

    I would code the E/M to Doc A as s/he documented.
    I would code the procedure to Doc B as performed & documented.

    If both these physicians are in the same practice and of the same specialty, then you will need a modifier on the E/M.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    I agree with F Tessa
    Susan Edwards, CPC, CEDC

  4. #4

    Default re-help

    thank you for all your help..alice

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