Forum - Questions & Answers

Sep 13th, 2010 - gfrazier

ER cpt 99285

Is it possible for an ER md to bill a level 5 -99285 and discharge a patient? I am thinking that if a patient condition warrants a level 5 would make them really ill and would not be discharge? Is that possible..

Sep 13th, 2010 - nmaguire   2,606 

Depends

Sometimes the patient has symptoms that could be life-threatening and require a complete exam--documentation would go to the workup and plan. Once the patient has been worked-up and tests are in, the suspected condition could be ruled out but the work to do so was medically necessary.

Sep 13th, 2010 -

But remember

it is the severity of the presenting problem that determines the level of visit. Any good EMR can generate a level 5 visit with a few clicks. So I agree with Nancy that shortness of breath could be a level 5 visit if a CT angio is done, cardiac workup is done and the patient goes home if all is normal, but that is the exception.



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