tci ED Coding & Reimbursement Alert - 2005 Issue 9

You Be the Coder: Draw the Line Between 99285 and 99291

Question: A patient presented to the ED with shortness of breath and chest pain that had started one to two hours prior to coming to the hospital, and the pain had basically resolved when he arrived. The ED physician ordered an EKG and labs, which were both essentially normal. The patient had a prior history of CABG, so the plan was to admit the patient and check serial troponins. The doctor placed the patient on aspirin, beta blockers, Nitropaste, heparin and morphine. The patient was then hemodynamically stable, with oxygen saturation of 97 percent on 2 liters.Does this...

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