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Billing Resuscitation & Consult together?

Pam Posted Tue 07th of August, 2012 16:58:23 PM

Can one dr charge a 99465 resuscitation in L&D and one dr charge a 99251 consult on the same patient on the same day? I was thinking it had to be one or the other not both charged, but not sure. Thank you for your help.

SuperCoder Answered Wed 08th of August, 2012 22:10:22 PM

Code combinations 99231 – 99233 and 99251 – 99255 may be reimbursed when:

Two different physicians provide inpatient services to the same recipient on the same date with the same group provider number. Documentation must be submitted with the claim to medically justify two services on the same day.

One physician provides inpatient services to a recipient twice on the same date of service. Documentation must be submitted with the claim to medically justify two services on the same day.

Hence in your case , you can bill both.

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