tci ED Coding & Reimbursement Alert - 1999 Issue 8

To Bill or Not To Bill: Coding for Ambulance and EMS Direction

An ambulance from your hospital responds to a report of an automobile accident. The ED physician answers the EMS staffs call for medical direction. In addition to getting information on the number of injured who will be transported and the seriousness of the injuries, the physician provides clinical guidance to the EMS personnel, instructing them on the administration of medications and advanced resuscitation measures. Can the physician bill for the supervisory services via radio, i.e., the medical direction of ambulance and EMS personnel?According to CPT, this is a recognized service reportable with its own code99288 (physician direction...

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