However, no ED E/M or observation codes appear in Appendix P. The codes selected for inclusion were based on a search of payer policy requiring the use of the Healthcare Common Procedure Coding System Level II synchronous modifier with CPT codes. The ED codes did not come up anywhere in those payer policies so were not included in Appendix P. ACEP is exploring how they can be added in future years with evidence that ED services are widely recommended for performance via synchronous real-time communication.
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ACEP Now: Vol 36 – No 01 – January 2017Dr. Granovsky is the president of Logix Health, an ED coding and billing company, and serves as the course director of ACEP’s coding and reimbursement courses as well as ACEP’s National Reimbursement Committee. Mr. McKenzie is reimbursement director for ACEP.
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One Response to “2017 Emergency Department Coding and Reimbursement Update”
February 12, 2017
Gabe WilsonMike,
Great and enlightening article as usual.
It would be helpful if you could estimate how the $0.08/RVU increase would impact a typical 20k and 50k-volume ED.
Thanks for keeping us updated!