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Reader Questions: Straighten Out Your Modifiers For ER Admit

Published in General Surgery Coding Alert, July 2010

Question: Our doctor saw a patient in the emergency room and decided to admit him and perform surgery. This patient is not Medicare. Do I code this using 99221-99223, as an outpatient E/M code, or with an emergency room E/M code? Also do I need to add a modifier if our doctor is the admitting physician?
Missouri Subscriber
Answer: You should use 99221-99223 (Initial hospital care …), assuming that your surgeon’s documentation will support the code. Once [...]


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Published in General Surgery Coding Alert, July 2010
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