I have an issues with a carrier telling me that I need to use (E/M) CPT codes based upon the patient’s admission statue. For example, if the patient is an inpatient, I should use inpatient E/M codes. While I understand this, I sometimes have situations where the patient is still located in the Emergency Department due to bed availability. I always thought that you have to chose codes based upon the physical location where the face to face services took place. The insurance carrier actually quoted CMS policy that stated codes should be used based upon the patient’s admission status regardless as to where the face to face encounter occurred. Does anyone have any insight into this????? Thanks!