tci ED Coding & Reimbursement Alert - 2016 Issue 5

Reader Question: Can We Report Both ED And Hospitalist Services?

Question: My group has been asked to begin providing hospitalist services in addition to covering the ED. Can we report an admission code in addition to our ED E/M visit if we are doing both services? Delaware Subscriber Answer: You can’t report both services for the same patient on the same day. CPT® is very clear that when a patient is admitted to the hospital in the course of an encounter in another site of service, such as the ED or observation status, all E/M services provided by that admitting physician in conjunction with that admission are considered...

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