Re: Coding-ER visit

From: ainsron (ainsron@sbcglobal.net)
Fri Jan 18 10:22:48 2008


It's not six weeks. You own her for ninety days after a major surgery. Or should I say Medicare owns you?

On the surgical side, I doubt you will find any gyn oncs in Alaska doing laparoscopic nodes. You have Nick Spirtos in Las Vegas now, don't you? He is a pioneer in the field.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff Sent: Friday, January 18, 2008 8:49 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Coding-ER visit

If you operated, it is global for the first 6 weeks, I do believe. AND what the heck are you doing it open for? Let's get on the laparoscopic bandwagon!!!! :-)

Richard Chudacoff, MD, FACOG

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod Sent: Wednesday, January 16, 2008 8:34 PM To: Multiple recipients of list OB-GYN-L Subject: Coding-ER visit

A 75 yr old lady, postop day number 4 from a TAH/BSO and nodes for endometrial cancer presents to the ER with complaint of right hip pain. I happen to be close to the ER and I go ahead and see her rather than the ER doc.

I would venture to say that I did an expanded problem focused HPI and exam and had straight forward medical decision making.

Is the E/M code for seeing someone in the ER that of observation or is there another that I've missed? Or is this visit somehow tied up in the global package?

Thanks,

Glen

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