tci Part B Insider - 2003 Issue 21

Don't Bill Two E/M Services in the ER

In the office setting, you can sometimes bill two evaluation and management services on the same day, either by separating them or by combining them into one E/M service at a higher level. But in the emergency department, it's unheard of to bill for two E/M services in one day, according to coding experts. If an ER physician sees a patient and then passes her on to another physician, the second physician should usually bill for a consult instead of an E/M service. But if the referral to the second physician does not meet the guidelines for a...

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