AAPC - Back to school
Results 1 to 2 of 2

Thread: Two ER visits in Same 24hr

  1. #1

    Question Two ER visits in Same 24hr

    AAPC: Back to School
    If a patient comes to the ER twice in the same day, with the same problem.
    Do you combine the visits? What if they are different problems but still two visits on the same day? Does anyone have a reference?

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Typically, you combine; however....

    " Office/Outpatient E/M Visits Provided on Same Day for Unrelated Problems
    As for all other E/M services except where specifically noted, carriers may not pay two E/M office visits billed by a physician (or physician of the same specialty from the same group practice) for the same beneficiary on the same day unless the physician documents that the visits were for unrelated problems in the office or outpatient setting which could not be provided during the same encounter (e.g., office visit for blood pressure medication evaluation, followed five hours later by a visit for evaluation of leg pain following an accident)."

    Last edited by RebeccaWoodward*; 10-03-2008 at 07:33 AM.

Similar Threads

  1. office visits vs outpatient visits
    By Hernf in forum Outpatient Facilities
    Replies: 2
    Last Post: 08-26-2015, 06:15 AM
  2. Post op visits vs. chargable visits
    By conniecoder in forum Billing/Reimbursement
    Replies: 0
    Last Post: 06-26-2012, 08:22 AM
  3. 24hr ph and bravo failure
    By JDV7980 in forum Gastroenterology
    Replies: 0
    Last Post: 04-04-2012, 11:14 AM
  4. Crosswalking new pt visits to estab visits
    By LBJ in forum Compliance General Discussion
    Replies: 1
    Last Post: 08-10-2011, 04:59 PM
  5. Yearly visits and E&M visits New Patient
    By jlv1980 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 07:38 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.