Digging Into HIM & Coding Blog
For many, the ins and outs of facility evaluation and management (E/M) coding for emergency department (ED) services are shrouded in mystery. In an industry where everything seems to be regulated, there appears to be a lack of regulation in the world of facility ED E/M. But is there really? I’ve been known to fib a little about facility ED E/M coding but quickly backtrack to simply state, “It’s complicated.” So without further ado, here are three little lies I’ve told about facility E/M coding and the real truths behind them.
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Additional Tips & Expertise
Q: Are off-campus emergency departments Type A or Type B EDs?
Q: Should a “fast track” area of an ED be reported as Type A or Type B? The fast track area is not open 24 hours a day but it is located within an ED that is. What about if the fast track area is used for overflow during busy times?
Q: You referred to modifier 25 for use with other procedure codes. This modifier is for a significant, separately identifiable E/M service by the same physician or qualified health care professional (QHP) on the same day of the procedure or other service. Isn’t this only applicable to the pro-fee setting?
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No Rules For Facility E/M Levels Webinar
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