tci ED Coding & Reimbursement Alert - 2004 Issue 3

Reader Question: Look Carefully for Observation Services

Question: Many of our patients receive intravenous fluids for four to six hours in the emergency department. How should we bill for this prolonged service? What about patients we watch for eight hours who have pain or fever related to sickle-cell disease?     Tennessee Subscriber Answer: CPT states that time is not a descriptive component for levels of E/M services in the emergency department (99281-99285). Therefore, the prolonged services codes 99354-99357 would not apply in the ED. However, the services you provide to certain patients in the ED may meet the requirements to bill for...

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