Provision of psychiatric services in the ED setting allows for several options for coding and billing, depending on the specialty/discipline of the provider. Familiarity with how your setting is licensed (outpatient, ED, observation unit, etc.) can also be essential when choosing between these options. Options for coding and billing for psychiatric services include outpatient E/M codes, psychiatry family codes for psychiatric evaluation, emergency services E/M codes, consult E/M codes, and interprofessional consult E/M codes. Over the past few years, there have been significant changes to requirements for E/M codes. These E/M services are now billed either on medical decision making or on time. We will review tips related to the following areas:1) Changes in requirements for E/M codes2) Explanation of requirements for medical decision making and time when using E/M codes3) Use of psychiatry family codes (90792/90791)4) Use of emergency services E/M codes5) Use of consult services E/M codes6) Use of interprofessional consult E/M codes7) Billing for follow-up services in the ED8) Coding for services provided with involvement of a resident physician.
Learning Objectives:- Describe the elements of medical decision making that are required for E/M codes.
- Be familiar with how to use psychiatry family codes for psychiatric evaluation with and without medical services in the ED setting.
- Explain options for coding for follow-up services in the ED.
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