tci ED Coding & Reimbursement Alert - 2001 Issue 6

Correction: ED E/M Codes

The May 2001 issue of ED Coding Alert incorrectly stated that in-house cardiac care management by an ED physician includes the ED E/M codes (99281-99285). Rather, these codes apply only to services performed in the ED. When emergency physicians are requested in another area of the hospital, the extent of the service and the guidelines in force for the patients insurer determine how the service will be coded. If procedures are performed, the emergency physician may bill for those procedures. If the patient qualifies for critical care and the emergency physician has performed over 30 minutes on critical care...

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