emergency coding

  1. B

    Wiki Active Labor Transfer

    Ok I'm having trouble with these and am getting conflicting advice. Two hypothetical scenarios; 1. 38 wk pregnant pt comes to our ED with contractions, not yet dilated. Dr describes her contractions as "irregular" and states she's "not yet in active labor". We send her home and tell her to...
  2. J

    Wiki Extended ER

    I have a scenario that I have never come across before so I want to get some input. Patient presents to ER on 1/6 for chest pain. Cardiac protocol followed. Patient was planned to be transferred out for higher level of care but no beds were available at any of the hospitals in the state. The...
  3. Ceci22coder

    Wiki Coding radiology Reports in ED Facility Setting

    Hi everyone, I’m in need of some assistance and clarification. There has been different information in my facility on whether we are allowed to pick up radiology diagnoses that’s is reported from the radiology report. For ex from a X-ray, MRI, U/S and or CT in the ED facility setting. Some...
  4. K

    Wiki Billing for 76705 or 76604 in the ED

    Our ED physicians are wanting to do the Ultrasounds at bedside. the physicians would be doing the US, not the US techs. Is the hospital able to bill the facility (technical) side of the US since he is using our equipment and the physician bill for the professional side for doing the read?
  5. J

    Wiki Mode and Means of arrival not captured - can I send it through?

    I have an ER visit from July 26 where the nursing staff did not document the mode and means of arrival for the patient. We have always sent it back to the nurse as that is a facility requirement to have it documented. The nurse is no longer here. Normally they are able to look in the dashboard...
  6. J

    Wiki Modifier 27 help

    Hi all! I'm looking for resource material regarding the use of Mod-27. I code for an ED with affiliated Primary and Specialty Care offices and Walk-In's. At some point, someone in my organization advised we could not use Mod-27 with ED E/M's when a patient has an additional outpatient visit that...
  7. K

    Wiki ED care for 3 days (pending a bed for transfer) and then left AMA

    Need help. We had a patient that was in our ER for 3 days due to waiting on a bed at another hospital for higher level of care. The patient ended up leaving AMA on the 3rd day. We have Critical Care documented during this time. Can we still bill for services? If so, can you provide me the...
  8. C

    Wiki CPC 5 yr experience

    CPC certified, looking for a remote coding opportunity overseas, 5 years experience with ICD 10 and CPT coding. Looking for a position where my coding, technology, and organizational skills can be used to help a company to reach their goals. Willing to relocate: Anywhere Authorized to work in...
  9. S

    Wiki Coding CPT 51701 for Foley catheter placement in ED

    Please clarify on coding CPT 51701 for Foley catheter placement attempted with nil urine output in ED set up ? it is OK to code CPT 51701 or inclusive in EM visit as no urine output.
  10. A

    Wiki Ed charge code

    For 99281-99285 what if the ARNP saw the patient in ED and kept the patient because they are not clinically sober yet or is still having suicidal ideations, the next day they saw the patient again and decided that they no longer is suicidal or patient is clinically sober, is it ok to bill...
Top