Gina Posted Fri 28th of February, 2020 15:00:20 PM
If multiple emergency Physicians see a patient during the same encounter, and one performs the E/M, and a different provider in the same group performs an ancillary service such as an EKG, or Ultrasound, can you bill all services under the primary Physician performing the E/M? Thank you!
SuperCoder Answered Mon 02nd of March, 2020 08:08:58 AM
Thank you for your question.
In emergency department (ED) ancillary services such as an EKG, or Ultrasound are billed as packages when a service is performed with another service. Separate payment will continue to be made when these ancillary services are performed and reported as the only service on a claim.
So, in ED we will bill all ancillary services under primary physician performing the E/M under one NPI number.
Also note that, in the emergency department, there are no established patients. That’s why the ED services codes (99281-99285) don’t make that a distinction. And obviously, there are no planned procedures in the ED either.
The combination of these two facts should indicate to most emergency physicians that their E/M codes should almost always have the modifier -25 attached if they perform a procedure on a patient after the initial evaluation.
Feel free to ask for any further query.