ER Discharge

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January 23, 2014

Question:

Our surgeon was called to the ER for a consultation. The patient was discharged from the Emergency Room. Can you tell us how to report this?

Answer:

The correct category of CPT code will be dependent on payor rules. According to the 2014 AMA CPT rules, the service is a consultation and the 99241-99245 codes are reported. Report the consultation code for all payors still recognizing this category of codes.

Medicare no longer reimburses consultation services. Report a CPT code from the Emergency Department (ED) Codes (99281-99825) when the patient is seen in consultation in the Emergency Room and discharged.