Inpt or ED?

Scenario - A patient is seen in the ER and is admitted as an inpatient to the ICU. They do not physically make it to the ICU due to bed capacity and are held in ED hold. A H&P is done by the hospitalist. Patient gets transferred to another facility while awaiting a bed in the ICU before actually ever being moved physically out of the ED but per the admission order is in an inpatient status.

Does this just get billed as an ED outpt visit or because of the admission order and H&P, this would stay as an inpatient?

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