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...

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