tci General Surgery Coding Alert - 1999 Issue 3

Reader Question: Same Physician, Same Day, Exam At One Site, Procedure at Another

Question: Our surgeon arranged to meet his patient, who had a foreign body stuck in his esophagus, in the ER. After an examination, the patient was transferred to another facility, where the same surgeon performed an EGD with removal of foreign body. This is a Medicare patient. How would we code this situation, since both services were performed on the same day?Anonymous Subscriber COAnswer: Since the surgeon met his patient in the ER, he would code the examination with an emergency department E/M code (99281-99285). The precise code used would depend on the level of E/M that was...

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