tci ED Coding & Reimbursement Alert - 2015 Issue 8

Reader Questions: Take This Expert Advice, On Billing For Extra Consultation Time

Question: One of our physicians spent 30 minutes speaking with a suicidal patient and wants to bill for the time. I don’t think we’re allowed to do that in the ED, but the physician wants me to report a prolonged visit code for “face to face” time. Should I? New York Subscriber Answer: You shouldn’t bill for the extra time. The 9928x (Emergency department visit for the evaluation and management of a patient…) series for emergency department E/M services is not time based, so billing for extra time using a prolonged services code does...

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