tci E/M Coding Alert - 2013 Issue 3

You Be the Coder: Consider CC Codes for In-Office Grand Mal

Question: Our doctor saw two patients who left the office by ambulance. One was in respiratory distress and had to have oxygen administered until the ambulance arrived, and the other had a grand mal seizure. Our office manager wants to know how to bill for these visits. I feel they should bill a 99215 for both. Is that accurate? Answer: It’s difficult to say which code the documentation supports, but in general, the majority of patients who leave the office in an ambulance are facing a life-threatening illness. Therefore, many practices can justify using a critical care code...

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