Does anyone have a resource or link to a webinar, etc that you could direct me to with respect to E/M coding specific to Emergency Department coding?
thank you in advance!
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Tag Archives: Room
In room breaking policy
We are considering experimenting at making a change to our breaking policy, where Anesthetists would be able to break a resident. We are looking for some feedback on what the current standard billing practice is when a case with a resident is given a short break (15 min or 30min) by an Anesthetist and the case was a Medicare patient. To our knowledge there are no policies that address this type of scheduling and how the time should be billed for the anesthetist for short duration breaks. At our facility we bill Anesthetists (CRNAs/AAs) under Medical direction only.
How would you bill the following: An Anesthesiologist had two rooms running concurrently with residents. On one of the cases the resident was present for the majority of the time but was given a short break (30min or less) by an Anesthetist. The payer is Medicare.
1) Anesthesiologist is billed with an AA, even though the Anesthetist was on the case for a short duration since the majority of the time the resident was on the case OR
2) Anesthesiologist is billed with the QK (or QY) reporting total minutes for the case and the Anesthetist is billed with a QX reporting only the time that he/she was on the case (i.e. 15 minutes)
3) OR do you only allow like providers to break like providers?
4) Or another manner that isnt listed here
Any input would be greatly appreciated.
Thank you for your time.
Beth
seton exchanges in exam room
Our physicians routinely do seton exchanges in the exam room during the post-op period. It seems there should be a billable service here, but a full 46020 (seton placement) seems over the top and I’m not sure 46030 is correct, either.
What are others using for this?
Emergency Room Birth
We do not normally deliver babies at our Critical Access Hospital, so this is not my forte. We recently had a woman deliver at 35-weeks in our emergency room. The baby was immediately transferred, by life flight, to larger hospital. My problem is coding the baby’s part of the ER. Someone here thinks I should assign 99460 to the chart, but I’m reluctant. The description states, "Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center." Would this CPT apply? If not, do I put an ER E/M code?
I applaud all of you who have to deal with this all the time. It’s like a foreign language to me.
I applaud all of you who have to deal with this all the time. It’s like a foreign language to me.
Radiology Recovery Room Billing – Office Setting
Can anyone tell me if a Radiologist can bill recovery room time for a liver biopsy done in the office and billed as an office visit. The reimbursement is low for the procedure so we want to find out what can be billed in addition to CPT 47000 since the patient will require 3-4 hours recovery time.
thank you!