Coding Consultations in the ER

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Question:

Since Medicare doesn’t recognize consultations any longer, what do I report when I am called to the ER to evaluate a trauma patient? The patient was admitted by another service and did not need any vascular intervention.

Answer:

According of Medicare rules, this scenario would be reported with an ER visit code, 99281-99285. For a non-Medicare patient whose insurance still recognizes consultations, report this as an outpatient consultation.

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