tci ED Coding & Reimbursement Alert - 2009 Issue 7

READER QUESTIONS : Check Patient Status Before Selecting ED E/M

Question: The ED physician is called to see a hospital inpatient with emphysema who is having trouble breathing, and complaining of a hacking cough. Notes indicate that the physician performed a problem focused history, an expanded problem focused examination, and moderately complex medical decision making. I coded 99282 and received a denial. What did I do wrong? Minnesota Subscriber Answer: You chose from the wrong code set; 99282 (Emergency department visit for the evaluation and management of a patient &) is for ED services, but since the physician was treating a hospital inpatient, you should have chosen from...

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