tci ED Coding & Reimbursement Alert - 2014 Issue 5

Reader Question: Check the Payer before Reporting a Consultation Code

Question: What is the right code to use in the following scenario? Patient presents to the emergency room and a specialist consult is requested. The specialist (i.e. cardiologist, gynecologist) performs the consultation in the ED setting and the patient is not admitted. Florida Subscriber Answer: CPT® still contains consultation codes, so if that is the service performed by the specialist, they should use the appropriate outpatient consult code 99241-99245. Medicare does not recognize consultation codes, so if it is a Medicare patient, they would report using the ED E/M code.  ...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.