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Posted By lisa on 04-02-2007, 13:31:00 in General Surgery
Hi all,
Happy Holidays...

I have a question that has been asked before, but I still am not sure of the
correct way to bill...Many of our patients come through the emergency room,
and are then admitted(seen by my doc in er, then my doc admits) what is the
proper way to code this? it seems I only get paid when I code a 9928_ , and
then the follow up care...when I code with a 9922_ or 9924_ and a 23 for place
of service, I get denied

any advice will be appreciated
thanks

Lisa
Comments (5)
Posted By Charlotte on 04-03-2007, 11:00:00
Are you rolling the ED visit into the admit, using an admit initial day
code, and hospital place of service=3F We never have issues with it this
way.

Thanks!

Charlotte
Posted By lisa on 04-03-2007, 10:58:00
I get denied all the time when I code that way," place of service doesn't
match cpt", thats why I put the question out...thanks
Posted By lisa on 04-03-2007, 10:56:00
thanks so much...makes more sense now..



Happy Holidays
Posted By Charlotte on 04-02-2007, 14:21:00
I agree - roll it into the admission.

The other thing we do in the ER is a consult to the ER doctor. These
patients generally are not admitted to our service however and basically
the consult covers patients we just evaluate there for admission. Of
course consult reports must be made and notations in the ER record of
the consult for the ER doc.

Happy Easter!

Charlotte
Posted By Patricia on 04-02-2007, 14:06:00
Lisa
When a patient comes through the ER and then admitted I bill for the admission-9922x, place of service 21. I'll use the example of a person who comes to the ER with RLQ abdominal pain. The doc works up the patient and patient is found to have acute appendicitis. I bill the initial hospital day as 9922X with a 25 modifier and attach dx code 789.03 to that because the doc had to determine what what wrong with the patient. I then bill for the appendectomy under dx code 540.x.
Your ER codes are always rolled into the admission day code unless of course it is a separate encounter on that day which happens rarely. Hope this helps.
Patty
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