tci ED Coding & Reimbursement Alert - 1999 Issue 3

Case Study: Consultation, Multiple Procedures, and Diagnostic Testing in Addition to the E/M Service

One of the most common challenges to the ED coder is identifying the correct evaluation and management (E/M) level of service for an ED visit, and determining the correct modifiers to apply to that code when E/M services are performed in addition to procedures. This months case provides an opportunity to explore the multiple options available to the coder when differentiating a procedure service from an E/M service. In addition, it offers a challenge to the coder in correctly identifying the level of E/M service provided, as well as determining the level of repair performed by the emergency physician...

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