tci ED Coding & Reimbursement Alert - 1999 Issue 4

How to Choose the Right E/M Codes to Use in Urgent Care/Fast Track Centers

In the January issue of ED Coding Alert, we covered the issue of coding for E/M services delivered by ED physicians in a hospital-owned, off-site urgent care center. We received several comments from readers questioning use of the office/outpatient codes for a new patient (99201-99205) for E/M services delivered in that setting. “When centers are within the hospital, staffed with the same ratio of physicians and practice extenders, and open 24 hours; there is no rationale for the physicians to code differently (i.e., not use the emergency service E/M codes [99281-99285],” writes Phyllis Whitney, director of...

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