E/M Coding for Emergency Surgery

E/M Coding for Emergency Surgery

December 14, 2023

Question:
Under the revised 2023 EM guidelines what E/M code would be supported for seeing a patient in the the ED for a ruptured abdominal aorta aneurysm (AAA) and taking them emergently to surgery for repair?

Answer:
This scenario would support , 99223, the highest level of Initial hospital care. Based on:

  • High Problem-Acute or chronic illness or injury that poses a threat to life or bodily function and,
  • High Risk- Emergency surgery

Remember, only 2 of the 3 medical decision-making elements are needed to support a level of E/M.

*This response is based on the best information available as of 12/14/23.

 

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