HCPCS Code for Level 1 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) G0380

HCPCS code G0380 for Level 1 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) as maintained by CMS falls under Hospital Observation and Emergency Services .

Official Long Descriptor

Level 1 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

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Type B Emergency Department Codes G0380-G0384

[QUOTE="ngregowicz, post: 515029, member: 198715"] Does anyone know if the G codes used for type B emergency departments (G0380-G0384) are used by facility only or also by professionals. Also does any... [ Read More ]

Type B Emergency Department Codes G0380-G0384

Does anyone know if the G codes used for type B emergency departments (G0380-G0384) are used by facility only or also by professionals. Also does anyone know in what type of facility these codes are u... [ Read More ]

modifier 27

[SIZE=7][B]Modifier 27[/B][/SIZE] [SIZE=6][B]What you need to know[/B][/SIZE] Append modifier 27 when reporting multiple outpatient hospital evaluation and management (E/M) services on the same date. ... [ Read More ]

help POS

[QUOTE="perkins05, post: 198466, member: 115248"]Thanks AJS...If seen on same day do I attach modifier 25 to e/m?[/QUOTE] (Under OPPS, modifier may be used only with E/M visit codes (with status ind... [ Read More ]

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• 2015 OPPS Rule: You Can Expect More Of The Same For 2015 Medicare Facility Payments - (Dec 18, 2014)

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