twizzle
Guest
I need some really constructive and accurate advice regarding coding in the ER.
Several scenarios....my doctor(say a cardiologist) is asked to see a patient in
the ER for a consult;he does the consult and the patient goes home.
My thinking is that I bill an ER consult 9928_ and POS ER.
Same scenario but the patient is then admitted to OP observation (same day). Do I bill an OP consult and use POS ER? Or patient admitted as IP? I don't think I would bill an IP consult and POS ER.
What about a patient who has an ER consult by my doc, then goes for surgery urgently the same day, and ends up being admitted the following day as an IP?
I think that an ER consult would be billed (with POS ER) because that is effectively saying that the patient is in the ER that day and discharged from the ER.
There are so many scenarios that it is difficult to cover all of them. My work colleagues (and manager) all have different opinions anyway.
What I really need to know,(or at least know where to find the information in black and white) is the protocol for billing consults in the ER (not by the ER physician) by anyone who sees a patient in the ER. CPT codes and POS are all I need.
I look forward to advice but I don't want replies saying "I think this is what you do"..."this is my opinion". Just facts please. I know there are a few well-informed coders/managers out there who can give me an answer and I look forward to your input.
Several scenarios....my doctor(say a cardiologist) is asked to see a patient in
the ER for a consult;he does the consult and the patient goes home.
My thinking is that I bill an ER consult 9928_ and POS ER.
Same scenario but the patient is then admitted to OP observation (same day). Do I bill an OP consult and use POS ER? Or patient admitted as IP? I don't think I would bill an IP consult and POS ER.
What about a patient who has an ER consult by my doc, then goes for surgery urgently the same day, and ends up being admitted the following day as an IP?
I think that an ER consult would be billed (with POS ER) because that is effectively saying that the patient is in the ER that day and discharged from the ER.
There are so many scenarios that it is difficult to cover all of them. My work colleagues (and manager) all have different opinions anyway.
What I really need to know,(or at least know where to find the information in black and white) is the protocol for billing consults in the ER (not by the ER physician) by anyone who sees a patient in the ER. CPT codes and POS are all I need.
I look forward to advice but I don't want replies saying "I think this is what you do"..."this is my opinion". Just facts please. I know there are a few well-informed coders/managers out there who can give me an answer and I look forward to your input.