Wiki ED visit codes (99281-99285) be claimed more than once per a day if different specialty?

Akulo

Expert
Messages
405
Location
Bronx, NY
Best answers
0
Can ED visit codes (99281-99285) be claimed more than once per a day if different specialty?

Patient saw emergency specialty doctor in ED, then saw a different doctor with different specialty for Pre-op, both in ED setting, same hospital.
 
Last edited:
Can ED visit codes (99281-99285) be claimed more than once per a day if different specialty?

Patient saw emergency specialty doctor in ED, then saw a different doctor with different specialty for Pre-op, both in ED setting, same hospital.
Yes, ED visit codes may be billed the same day by different specialties, but is not always appropriate.
I would just add it is not the "SETTING" or physical location of the patient, but rather the patient's status. For example if there were already orders to admit the patient (even if the patient is still physically in the ED until after the surgery), then doctor2 would bill inpatient codes.

30.6.11 - Emergency Department Visits (Codes 99281 - 99288)(Rev. 1875, Issued: 12-14-09, Effective: 01-01-10, Implementation: 01-04-10)
A. Use of Emergency Department Codes by Physicians Not Assigned to Emergency Department
Any physician seeing a patient registered in the emergency department may use emergency department visit codes (for services matching the code description). It is not required that the physician be assigned to the emergency department
 
Top