ED Coding and Reimbursement Alert
Morning-after Diagnosis Code
Virginia Subscriber
Answer: The diagnosis code would be V25.01 (prescription of oral contraceptives), but receiving RU-486 may not meet payer medical-necessity guidelines and may not be reimbursed in the ED.
Answers for Reader Questions and You Be the Coder provided by Caral Edelberg, CPC, CCS-P, president of Medical Management Resources Inc., an emergency department coding consulting firm in Jacksonville, Fla., and Todd Thomas, CPC, CCS-P, president of Thomas & Associates Ensuring Optimum Reimbursement for Emergency Physicians in Oklahoma City.
ED Coding and Reimbursement Alert
- Avoid Undercoding:
Choose Critical Care Instead of 99285
CPT 2001 has broadened the definition of 99291 (critical care, evaluation and management of the [...] - Bill Carefully for Bedside Ultrasounds in the ED
Social and economic pressures to triage, diagnose and rapidly treat patients have fueled ultrasounds use [...] - You Be the Coder:
Wound Repair
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - News Brief:
OIG Supports Application of Critical Care Codes in the ED
A recent Office of Inspector General (OIG) study reported that HCFAs concerns about physicians not [...] - Reader Question:
Facility E/M Levels
Question: How should I code E/M levels for a facility? Do most facilities use the [...] - Reader Question:
Level-five Caveat
Question: Does the ED level-five caveat apply to the physical exam as well as the [...] - Reader Question:
Conscious Sedation
Question: Is conscious sedation with endotracheal intubation a separately billable service if the physician documents [...] - Reader Question:
E/M Bundled With Observation Status
Question: In the past we have collected payment for both the echocardiograph (EKG) observation code [...] - Reader Question:
Aircast
Question: Is an aircast coded the same as a splint?
Gloria Peterson
Aurora, Pa
Answer: If the [...] - Reader Question:
Place of Service
Question: We are a level-1 trauma center with a burn unit that operates around the [...] - Reader Question:
Morning-after Diagnosis Code
Question: We have recently seen several cases of patients presenting to the ED for the [...] - Correction:
ED E/M Codes
The May 2001 issue of ED Coding Alert incorrectly stated that in-house cardiac care management [...]
