ER Visit Coding

Question:

What code do we charge for an ER visit when our physician was called to the ER by the ER doctor? The patient has Medicare.

Answer:

If the patient was not admitted by you to the hospital (e.g., they were admitted by another service or discharged), then you code it as an ED visit, 9928x, when the payor does not recognize the consultation (9924x) codes.

*This response is based on the best information available as of 03/24/22.