AMA CPT® Assistant - 2000 Issue 2 (February)
Evaluation and Management (February 2000)
February 2000 page 11-end Coding Consultation Evaluation and Management, 99281-99285 (Q&A) Question Can physicians working at an off-site extension of a hospital emergency room, located approximately 20 miles from the main hospital, report the Emergency Department Services codes 99281 - 99285 ? The extension site is open 12 hours a day. AMA Comment Based on the emergency department services guidelines, the emergency department services codes ( 99281 - 99285 ) are used to report evaluation and management services provided in the emergency department. An emergency department is defined as an organized hospital-based facility for the provision of unscheduled episodic...
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Article Overview
This article discusses a coding question about evaluation and management services provided at an off-site extension of a hospital emergency room. It explains the general scope of the relevant CPT emergency department and office/outpatient code groups, and it is useful for coders, billing staff, and compliance reviewers who need to understand how facility setting and availability affect reporting.
Why This Topic Matters
Facility type and hours of operation can affect whether evaluation and management services are considered emergency department services or another outpatient category, making this topic important for accurate CPT reporting and compliance.
Article Sections
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Coding Consultation
A Q&A format article presenting a facility-setting coding question and the accompanying guidance. The discussion centers on emergency department and outpatient evaluation and management reporting.
What You Will Learn
- How the article frames a facility-based evaluation and management coding question
- Which CPT code groups are discussed in relation to emergency department and outpatient services
- The general kinds of setting-related considerations addressed in the guidance
- Why article review may matter for emergency department billing interpretation
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Revenue cycle teams
- Emergency department administrators
Codes Discussed
Code Ranges Discussed
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