Herbie Lorona
Expert
When you are seen in the ER the hospital will bill for the 9928*. So what does the physician that seen you bill for?
Is the physician and the hospital both using POS 23.The facility is allowed to charge for the visits as well as the physicians. The facility charges are for the room/bed, the supplies used, the instruments used, and any procedures done (this is where the TC/26 comes in), etc. The physician is also allowed to charge for seeing the patient, they use the facility (so the overhead belongs to the ER/hospital) and they will bill according to their documentation. They may not always have the same CPT code, but it's generally close because the more traumatized/sick the patient, but more supplies/instruments/parts of the facility, will be utilized.
Does this make sense? Sometimes I have trouble saying what I'm trying to get across. I lose something between my brain and my fingers.