1. Try Super
   Posted 4 months ago #
   

   When an OB pt is seen as emergent pt.but up on the OB
   floor, do you use regular E&M codes or Emergency E&M codes?

2. SuperCoder
   Posted 3 months ago #
   

   As defined by the CMS (IOM Publication 100-4, Chapter 12, Section 30.6.11B),Emergency Department is an organized hospital-based facility for the provision of unscheduled or episodic services to patients who present for immediate medical attention. CPT® defines an ED similarly as an organized hospital-based facility for the provision of unscheduled episodic services to patients who present for immediate medical attention.
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   You should not report 99281-99285 (Emergency department visit for the evaluation and management of a patient…) for services (even emergency services) the physician provides in the office or outpatient setting other than an emergency department.
   ***
   You can report 99281-99285 even in non-emergency situations for services provided in the ED.The only requirement for using the emergency department codes is that the patient be seen in the emergency department for an unanticipated service.

   ***

   In the nutshell, you can't report ED codes for the service(s) provided on Ob-Gyn floor. Instead you may use regular E/M codes (as appropriate).
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   Hope this can help

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