CCO Admin asked:
So; this may be a silly question but we"re learning right?
When coding for the facility side in the ER setting; do you code the same as if it were for the physician? Say a patient comes in with a dislocated shoulder; the ER Dr. performs the reduction and the nurse documents that she assisted him - The Dr. would charge for the shoulder reduction but is the nurse as the "facility" also allowed to bill the same cpt code for the facility side?
Same with a laceration repair - Dr. performs; nurse assists him; are both the professional claim and the facility claim allowed to code for the laceration repair?
Answer:
The ER is considered facility. Think about who owns it or who is paying the bills.
So; this may be a silly question but we"re learning right?
When coding for the facility side in the ER setting; do you code the same as if it were for the physician? Say a patient comes in with a dislocated shoulder; the ER Dr. performs the reduction and the nurse documents that she assisted him - The Dr. would charge for the shoulder reduction but is the nurse as the "facility" also allowed to bill the same cpt code for the facility side?
Same with a laceration repair - Dr. performs; nurse assists him; are both the professional claim and the facility claim allowed to code for the laceration repair?
Answer:
The ER is considered facility. Think about who owns it or who is paying the bills.
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