tci ED Coding & Reimbursement Alert - 2006 Issue 6

Use These Guidelines For Subsequent Care Services

-  but ask payers before deciding on E/M level While there is no answer key for exactly what constitutes a level-one, -two or -three subsequent hospital care service, you might consider this chart when deciding on E/M levels, says Michael A. Granovsky, MD, CPC, FACEP, vice president of MRSI, an ED billing company in Stoneham, Mass.:   If the patient is stable, recovering or improving, this is likely a 99231 service (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: a problem-focused interval history...

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