Reader Question: Don't Count on CMS to Guide Facility Level Selection

Article Overview

This reader Q&A addresses whether CMS provides documentation guidelines for emergency department facility-level coding comparable to professional-side guidance. It explains the broader difference between facility and professional coding, notes the absence of CMS-endorsed ED facility-level selection guidance, and references the emergency department facility coding model developed by major industry organizations. The article is relevant to coders, billing staff, compliance teams, and emergency department administrators who need to understand how facility-level selection guidance is discussed in the context of OPPS and ED services.