Part B Insider - 2018 Issue 1
You Be the Coder: Which Code Applies to Split ED Service?
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Article Overview
This article addresses a coding question about emergency department follow-up care when one physician removes nasal packing placed by another physician in the same group. It explains the topic at a high level, focusing on how split services, postoperative/global-period considerations, and follow-up E/M reporting are viewed in this scenario. The piece is relevant to ED coders, physician coders, and revenue cycle staff who need to evaluate whether a later encounter is separately reportable.
Why This Topic Matters
Questions about split emergency department services can affect whether follow-up work is bundled into the original encounter or separately reported. Understanding the general coding framework helps avoid inappropriate reporting when care involves multiple physicians in the same group and possible global-period restrictions.
Article Sections
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Question
Introduces the emergency department scenario and the coding uncertainty about follow-up removal of nasal packing performed by a different physician in the same group.
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Answer
Summarizes the article's general guidance on split care, global-period considerations, and follow-up evaluation and management reporting.
What You Will Learn
- How split emergency department services may be evaluated for coding purposes
- Why global-period status matters for follow-up care
- The general role of E/M reporting in a subsequent encounter
- How same-group physician services can affect coding review
Who Should Read This
- Emergency department coders
- Physician coders
- Coding auditors
- Revenue cycle staff
- Billing specialists
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