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ED Coding and Reimbursement Alert

ED Visits:

Part B MACs, Private Payers Launch Probes of ED E/M Codes

Published on Tue Oct 15, 2019

You’ll need to stay on guard. Billing ED visits may seem simple at first glance, but recent CMS data indicates that for Part B providers, it may be more complex than you think. Here’s why: Several Medicare Administrative Contractors (MACs) have listed CPT® codes 99281-99285 (Emergency department visit for the evaluation and management of a patient …) on their Targeted Probe and [...]
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