LTibbetts
Guest
Question for you...I code ER's and we are having a discussion about the # of dx's for the MDM part of leveling the E&M pro fee. I was always from the school of thought that any problem a patient has that comes to the er, is a "new" problem. There is another person that is playing devil's advicate that is saying that if the patient that comes to the er has a chronic problem that is being treated here today, but was treated in another location the day beofre, that it is an established problem.
I read in the E&M coding guidelines in the CPT book the following statement...
"No distinction is made between new & established patients in the emergency room. E/M services in the ER category may be reported for any new or established patient who present for treatment in the ER"
Now, the first sentence, to me, means that every problem in the ER is looked at as new, but the second sentence is a little confusing to me. I guess I just may not be understanding it correctly.
Another scenerio presented to me was what if the patient came in for something one day, saw Dr B, and then came in 7 days later for the same problem and ended up seeing Dr B again? can anyone offer any insight on this?
I read in the E&M coding guidelines in the CPT book the following statement...
"No distinction is made between new & established patients in the emergency room. E/M services in the ER category may be reported for any new or established patient who present for treatment in the ER"
Now, the first sentence, to me, means that every problem in the ER is looked at as new, but the second sentence is a little confusing to me. I guess I just may not be understanding it correctly.
Another scenerio presented to me was what if the patient came in for something one day, saw Dr B, and then came in 7 days later for the same problem and ended up seeing Dr B again? can anyone offer any insight on this?