Are ED visit codes exclusive to ED physicians?

Are ED visit codes exclusive to ED physicians?

• A. True
• B. False
• C. Sometimes
• D. Not applicable

Answer: (B)

ED visit codes describe the level of evaluation and management performed in the emergency department and are not limited to ED physicians. Other qualified health professionals, such as nurse practitioners or physician assistants, can document and bill for ED visits when payer rules allow it and proper supervision or billing arrangements are in place. The encounter must meet the documented history, examination, and medical decision making criteria to justify the chosen level. So the statement is false because ED E/M codes are not exclusive to ED physicians.

ED visit codes describe the level of evaluation and management performed in the emergency department and are not limited to ED physicians. Other qualified health professionals, such as nurse practitioners or physician assistants, can document and bill for ED visits when payer rules allow it and proper supervision or billing arrangements are in place. The encounter must meet the documented history, examination, and medical decision making criteria to justify the chosen level. So the statement is false because ED E/M codes are not exclusive to ED physicians.