tci ED Coding & Reimbursement Alert - 2019 Issue 5

Reader Question: Pinpoint Rules for Double ED Visits

Question: We saw a patient in the morning for a bloody nose and then he came back in the afternoon because it was bleeding again. How do we report two separate ED visits on the same date? Supercoder Subscriber Answer: Although it’s tempting to report two different codes for the separate services, that’s not always the best approach. A frequent approach is to roll both visits into one code, adding together the notes from both to establish the level of service to report. The reason is that payers will not typically reimburse you for two related E/M...

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