tci ED Coding & Reimbursement Alert - 2002 Issue 6

Reader Question: Suicide Observation

Question: A patient arrives in the ED with suicidal tendencies. Our physician admits the patient to observation status and then calls in the hospital's psychologist for a consultation. The psychologist stays in the ED to monitor the patient, who is at considerable risk. Can our ED physician continue to bill for the observation while the psychologist is on the premises? New Jersey SubscriberAnswer: Yes, the ED physician may bill for the observation services (99217-99220 or 99234-99236), and the psychologist may bill for a consultation (99241-99245). The suicidal patient (300.9, Unspecified neurotic disorder) is under the continued medical direction...

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