tci E/M Coding Alert - 2014 Issue 6

You Be the Coder: Ask Payer For Preferred Consult Code

Question: When I use 99283 and 99284 I constantly get denied by my payer. My doctors go in to see a patient and consult with them while they are in the ER. Then the patient is discharged and goes home. Should I be using 99213 with the appropriate place of service 23 instead? New York Subscriber  Answer: If the physician tells the patient to go to the emergency room, you should report a service code from the 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient, …) series. If the physician was...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!