tci ED Coding & Reimbursement Alert - 2010 Issue 5

Make Sure You're Checking for High-Level E/M on Burn Treatments

'Aggressive monitoring' might add digits to E/M level.Patients reporting to the ED for burn treatment almost always require a separate E/M service in addition to the treatment, which results in more deserved reimbursement for your practice. Many of these patients will receive a low-level E/M service along with a 160xx service. There are certain situations, however, in which the physician might provide a highlevel E/M in addition to burn treatment, confirms Sharon Richardson, RN, coder in the compliance office of Emergency Groups' Office in Arcadia, Calif.In addition to 16000-16030, these encounters might also include 99285 (Emergency department...

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