Emergency Department Services Payment Policy Updated

CarePartners of Connecticut has updated our Emergency Department Services Payment Policy for informational purposes only, to offer guidance on coding for evaluation and management (E/M) codes.

In the interest of supporting our provider community in caring for your patients, our members, the policy now contains dedicated coding grids specific to professional and facility E/M services with examples of how to document the three key components that must be met and documented for the level of service rendered: history, exam, and medical decision-making.

The examples identified in these grids are intended to be used as a helpful reference tool, and do not comprise an all-inclusive list of conditions that warrant each level of service.

As a reminder, professional codes should be selected based on complexity and the work performed, whereas facility codes should be selected based on the volume and intensity of resources used by the facility to provide care.

For more information, please refer to CarePartners of Connecticut’s updated Emergency Department Services Payment Policy.