Emergency Room Auto-Pay List

For the ICD-10-CM version of the Emergency Room Auto-Pay List effective for dates of service starting on January 1, 2019 (which incorporates the October 1, 2018 ICD-10 code additions and deletions), please click here for a copy of the list

For the ICD-10-CM version of the Emergency Room Auto-Pay List effective for dates of service through December 31, 2018, please click here for a copy of the list

Please note that claims for emergency services with a primary ICD-10-CM diagnosis code on the auto-pay list will be paid without further documentation for the appropriate dates of service.

MedStar Family Choice reserves the right to audit claims in accordance with Maryland regulations for consistency between clinical documentation and information presented on the bill (including the reported diagnosis).

If you have any questions about the auto-pay list, please contact our Provider Relations department at 800-905-1722, Monday-Friday between 8:30 a.m. - 5:00 p.m.

Information current as of: 11/28/18