Forum - Questions & Answers

Jan 8th, 2011 - jurek

Physician Consult in the ED

I have a physician who was called in for a consult in the Emergency Department of the Hospital. How are his consultation services reported (he is not the ED physician)? THe patient was not admitted.

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Jan 8th, 2011 - nmaguire   2,606 

consult

If a Medicare patient (99281-99285). If non-Medicare (99241-99245)

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Jan 12th, 2011 - Codapedia Editor 1,399 

ED visits and category of code

I've posted an article on this topic that has a chart you can download that helps answer this question.

http://codapedia.com/article_517_Category-of-Code-Selection.cfm

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Jan 13th, 2011 - jschmutz   323 

article attachment?

I don't see the attached pdf that the article is referring to. Where is the link to the pdf located?

Article below:

Does anyone remember the good old days, when you didn't need to know the patient's insurance to select a category of code? Now, correct selection of an E/M category of code requires the clinician and coder to consider:

•Where the service was performed
•The status of the patient (Observation vs inpatient vs ED patient)
•Whether the patient self referred, was sent for an opinion
•Is new or estabilshed
This article has a one page pdf file attached to help with the decision making process. For any insurances that follow Medicare rules on consults, select the category of code as if they were Medicare patients when using this chart.

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