ED Coding and Reimbursement Alert

Reader Question:

Are ICD-9- PCS Codes Required For ED Facility Coding?

Question: Should we be capturing ICD-9 procedure codes for ED facility coding?  I understand it is not required; however, I’d like to get an idea of the standard practice among other hospitals.

Virginia Subscriber


Answer:
These are special ICD-9 Procedure Codes, not diagnosis codes.  They are different than the more common and ICD-9 CM diagnosis and CPT® codes. ICD-9 procedure codes are typically only applicable when the patient is assigned to inpatient status. Most hospitals don’t assign ICD-9 procedure codes to any procedure performed for a patient who is in an outpatient status (such as the ED) since the code set isn’t applicable in that setting of care. 

 

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.