ER Consult

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Question:

When one is called to the ER by the ER physician, and evaluates the patient, a consult code (9924x) is reportable, even though there is a transfer of care, true?

Answer:

Yes this is a consult (9924x) because you went to the ER and did not know prior to that service that you would accept the patient. Remember, Medicare and many other payors do not reimburse for the consultation codes (9924x, 9925x) so you’ll have to use an alternate code.