Emergency Department Referrals
The transfer of care or portion of care is a referral.
• The Emergency
Department provider requests that the specialist take over care or a portion of
care. The Emergency Department does not
intend for the patient to receive follow-up care in the Emergency
Department.
• To code Emergency
Department services with separate specialist services, there will be two ADM
records created.
• An appointment
will be generated in the Emergency Department.
The Emergency Department provider will document services he
provided. In the documented plan of
care, the Emergency Department provider will indicate a portion or all of the
care will be transferred to the specialist.
The Emergency Department provider will generally use a code in the
99281-99285 series and collect the care in the BIAA MEPRS.