tci ED Coding & Reimbursement Alert - 2000 Issue 6

Reader Question: 'Low/High' Decision-making

Question: Why is the medical decision-making level the same for 99283 and 99284?Cathee HeltonEmergency Physicians of Poplar Bluff, Mo.Answer: Lamon Willis, CPC, a coding consultant with St. Anthonys Consulting Group in Jacksonville, Fla., who specifically codes for emergency room physicians, addresses these questions by stating that the medical decision-making for emergency department evaluation and management (E/M) codes 99283 (emergency department visit for the evaluation and management of a patient, which requires an expanded problem-focused history and examination, and medical decision-making of moderate complexity) and 99284 (emergency department visit for the evaluation and management of a patient, which...

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