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New or Established Patient CPT® Code range 99281- 99285

The Current Procedural Terminology (CPT) code range for Emergency Department Services 99281-99285 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99281- 99285
Section 99281-99285
New or Established Patient
99281
99282
99283
99284
99285
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
January 01, 1970
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Modifier 25 with 99223 and 99497
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
ER Coding
If the patient was not admitted and only in the ER, you don't bill a discharge. Just your emergency dept E/M 99281-99285, and any other separately billable services you may have provided. If the pati... [ Read More ]
Are outpatient codes (99212-99215)appropriate?
When an insurance, for example, Medicaid, doesn't pay for observation services we would normally bill an equivalent ER code (99281-99285) for the initial visit since the patient is normally seen in th... [ Read More ]
additional assessment not required vs additional assessment planned emergency room
I think your question is regarding the number of diagnoses or treatment options table in the MDM section? If the problem is new to the examiner, and there is additional workup planned you multiply the... [ Read More ]
Manipulation of Foreskin?
I would bill an emergency visit, E/M service 99281 to 99285... [ Read More ]
ED to Inpatient then transferred on same day
I code for the Physician side, not the facility side. So, for us we would still code the ER visit with any procedure that was performed, 99281 - 99285. Example- 99282-57(decision for surgery, 90 day ... [ Read More ]
ED Coding Question e&m
This pertains to a surgeon who is a consulting physician (i.e., not the admitting physician), who is asked to see a patient in the ED, who is then admitted by the hospital ED doctor. The surgeon then... [ Read More ]
Oral Medications in Emergency Room
Ok, yes I'm looking for the Pro-Fee side. When coding the ER visit (99281-99285), under MDM, if the patient is given Oral Meds During the visit, can I consider this as "over the counter medications" ... [ Read More ]
Emergency Dept Coding Question
I code for a Neurologist. He has his own practice but frequently works in the hospital as well. He gets called to the ED for consultations. It's my understanding that if the patient has Medicare, he c... [ Read More ]
Post partum open wound
[QUOTE="thomas7331, post: 484031, member: 5404"] Yes, agree, but would just note that in the situation you describe the global period only applies to the provider who performed the cesarean section (o... [ Read More ]
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