tci E/M Coding Alert - 2017 Issue 6

Reader Question: Decipher Complicated Coding Scenario

Question: A patient came into our office for a scheduled visit, and we sent him directly to the hospital for an outpatient test. On his way home, the patient became extremely ill, stopped back by our office, and then collapsed in the waiting area. We performed CPR and gave him oxygen. The emergency medical technicians arrived and transported the patient to the hospital. What codes should we report? North Dakota Subscriber Answer: If the physician provided an evaluation and management (E/M) service before sending the patient to the hospital, then you could choose the appropriate level E/M code for...

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