tci ED Coding & Reimbursement Alert - 2000 Issue 7

You Be the Coder: Coding Inpatient E/M

Question: When the ED physician is called to the floor to evaluate an inpatient and the visit does not qualify for critical care, what evaluation and management (E/M) code would be correct to use for the encounter?Michigan SubscriberAnswer: There are three general groups of E/M codes the ED physician can use depending upon the service provided beyond the critical care codes. 1. If the ED physician was formally asked by the patients attending physician to assess the patient for a particular reason and that request was recorded in the patients chart either by the attending physician or by...

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