tci ED Coding & Reimbursement Alert - 1999 Issue 7

Coding for AMA and LWBS Patients: Charge for the Services Provided When Patients Leave the ED Against Medical Advice

Unlike physician offices and hospitals, emergency departments see patients with a variety of illnesses and injuries on an unscheduled and episodic basis. Consequently, many EDs have to deal with treatment scenarios unfamiliar to other healthcare providers. For example, in a busy ED, patients may often get frustrated with long waits to see the physician and leave without being seen (LWBS). Or, discouraged by the wait or unwilling to be admitted to the hospital after seeing the ED clinical staff, some patients leave the department against medical advice (AMA) before their treatment is complete. ED managers and coders are often...

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