Nurse ED Visits under 99281

I stumbled upon this an article dated 9/10/2026 CPT 99281: ED Level 1 E/M Billing & Documentation 2026, where it discusses allowing nursing staff to bill for standalone ED services. In 2023 I had inquired about billing for patients seen in the triage by a nurse and using 99281. AHA responded back at that time and indicated triage alone is not an E/M service and cannot be reported with an E/M. If you have patients who are triaged and then sent back to the waiting room until a room is available but then the patient leaves without being seen are you billing an E/M under 99281 and are being paid for it? We do bill for any ancillary services that are performed like labs or imaging.

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