ardithch
Networker
We have a common situation where the patient is in the ED for multiple days because a bed is not available in the hospital. The patient's status is not changed to observation or inpatient, before discharged from the ED 3-4 days later. Can the physicians/specialists who see the patient bill ED visits each day with POS 23 (99281-99285?) According to CPT guidelines, ED E/Ms are for new or established patients; however, I am concerend that the subsequent documentation will not support an ED visit.
1) What is recommended to bill in this scenerio for the subsequent visits? One coder is stating an established E/M code (99211-99215); however, the insurances don't want to pay this with the 23 POS.
2) Does anyone have a reference for exactly what is supported in each level of ED visit aside from the CPT manual?
Thanks!
Ardith, CPC, CGSC
1) What is recommended to bill in this scenerio for the subsequent visits? One coder is stating an established E/M code (99211-99215); however, the insurances don't want to pay this with the 23 POS.
2) Does anyone have a reference for exactly what is supported in each level of ED visit aside from the CPT manual?
Thanks!
Ardith, CPC, CGSC