Over 50% Off + FREE Exam with Certification Training | Learn More
Results 1 to 2 of 2

Coding for emergency room visit

  1. #1
    Question Coding for emergency room visit
    Exam Training Packages
    My surgeon was called into the ER to evaluate a patient, after doing so , my surgeon forwarded the care of that patient to a previous provider and facility. I believe my surgeon should be coding the ER visit as 9928?,
    because the patient maintained outpatient status.

    Does anyone know different information that can assure me?

    Example 2—A surgeon is called into the emergency department by another provider for a consultation for a Medicare patient.
    If the patient doesn't require an admission to the inpatient facilty, the surgeon should bill the visit as an emergency department visit using CPT codes 99281-99285 at the
    appropriate level (1 through 5).

  2. #2
    depends on who you're billing, if it's Medicare, then probably yes because they dont accept consult codes anymore, but for other insurance, I would use the outpatient consult codes. From what I know the only person who can bill the ER codes is the attending, and anyone else that's called in to consult should use the consult codes. same thing for the initial and subsequent hospital codes.

Similar Threads

  1. Emergency room coding
    By kumeena in forum Diagnosis Coding
    Replies: 1
    Last Post: 11-24-2014, 10:05 AM
  2. Emergency Room Visit
    By sbond in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-18-2012, 08:48 PM
  3. emergency room E&M visit - surgeron practice
    By kdr4079 in forum Medical Coding General Discussion
    Replies: 19
    Last Post: 08-12-2011, 10:20 AM
  4. Emergency room visit
    By seegaye in forum Emergency Department
    Replies: 4
    Last Post: 01-15-2011, 07:12 AM

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.