Gastroenterology Coding Alert
Gastric Aspiration Calls for 91105
Question: Nevada Subscriber Answer: • 99285 (Emergency department visit for the evaluation and management of a patient, which requires these three key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: a comprehensive history; a comprehensive examination; and medical decision-making of high complexity) for the E/M. • modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) linked to 99285 to show that the E/M and aspiration were separate services • 569.3 (Hemorrhage of rectum and anus) linked to 91105 and 99285 to represent the patient's symptoms.
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