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ER Coding-Hospital Based

  1. Default ER Coding-Hospital Based
    Medical Coding Books
    In hospital based ER coding, do you pick up the E/M code? Do you code the infusions?

  2. #2
    Location
    Gastonia
    Posts
    10
    Default
    Yes and you add the modifier-25 when procedures are performed.
    Yes, you can code infusions, injections and immunization even if it is done while in the ED.

  3. Default
    I'm being told that you don't pick up the E/M when doing hospital based ER coding...I know now to pick up my injections along with my icd9 volume 3 code but still confused as to if i need to pick up the evaluation and management...also do i need modifiers on my injections, infusions, etc?

  4. #4
    Location
    Louisville, KY
    Posts
    1,101
    Default
    What reason are you being given for not picking up the facility (ER) E/M?

  5. #5
    Location
    Gastonia
    Posts
    10
    Default
    Quote Originally Posted by kishacajun View Post
    I'm being told that you don't pick up the E/M when doing hospital based ER coding...I know now to pick up my injections along with my icd9 volume 3 code but still confused as to if i need to pick up the evaluation and management...also do i need modifiers on my injections, infusions, etc?
    I am as well curious to know why you would not pick up 99281-99285 codes?
    I do the coding on E&M's and procedures for my facility (someone else codes the ICD-9's) and we pick up the appropriate E&M. If billed with a procedure we place the -25 on the E&M. And we use any apporpriate modifier on procedures -52, -59 ect.

  6. Smile Hospital Based ED coding
    We are a hospital and my office audits the ED charts on a daily basis.

    We code the ED Visit level (99281-99285)
    We code the ED Procedure level adding modifier 25 to visit level if appropriate and after checking the S and T status procedures.
    We bill the infusion codes by the the Drug Administration Code Hierarchy, ie:

    IV Infusions/Meds 90765, 90766, 90767 and concurrent 90768, 90769
    IV Push injections 90774, 90775, 90776
    IM/SQ injections 90772, (not for immunizations, we use the admin codes)
    IV Hydration 90760, 90761

    Hope this helps.

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