tci E/M Coding Alert - 2013 Issue 10

Reader Question: Place of Service Determines Code Selection

Question: A patient presented at our office with a bruise. Our pediatrician examined the patient and sent her immediately to the ER. How do we bill the office visit code? Also, which diagnosis should we report for suspected child abuse?Maryland Subscriber Answer: The answer to your first question depends on whether the physician saw the patient in the emergency room. Assuming your physician only saw the patient at your office, then you should bill a standard office visit code (99201-99215). However, if the pediatrician went to the hospital to see the patient as an inpatient the same day...

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