January 23, 2014
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?
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.