Outpatient Facility Coding Alert - 2005 Issue 3
READER QUESTIONS: Don't Count on 99371 for ED Service
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Article Overview
This article discusses a coding question from an emergency department setting and explains the general issue of reporting physician communication and coordination activities alongside ED E/M services. It is relevant to coders, billers, and compliance staff who work with emergency medicine and physician service reporting. The piece focuses on the scope of the question, payer considerations, and the general relationship between telephone-based physician services and ED visits.
Why This Topic Matters
Emergency department coding often includes multiple physician activities within one encounter, so understanding when separate reporting is or is not appropriate can affect claim accuracy and compliance.
What You Will Learn
- How the article frames a question about reporting physician communication services with an ED visit.
- What general concerns are raised about payer payment and inclusion of physician work in ED E/M services.
- Why the article discusses the relationship between consultation-style services and emergency department reporting.
- What audience roles may find the coding scenario relevant.
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Emergency department coding professionals
- Physicians
Codes Discussed
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