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CPT CODE

Melissa Posted Mon 12th of December, 2011 16:08:21 PM

I AM HAVING A MONDAY PT IS ESTABLISHED AND ADMITTED TO HOSPITAL MY ANOTHER MD. MY DOCTOR DID A VISIT THE CODE SHOULD BE 99231-99233???? AS PT'S INSURANCE CODE DOES NOT ALLOW 99251-99255
IS THAT CORRECT?

SuperCoder Answered Tue 13th of December, 2011 07:31:46 AM

If that is the case, then yes, you could bill 99231-99233 for subsequent services during the same admission as per physician spend timing on the patient's hospital floor or unit.

Melissa Posted Tue 13th of December, 2011 14:02:45 PM

`I was told yesterday that I could use 99221-99223 even though my doctor wasnt the admitting so which is correct please~

SuperCoder Answered Tue 13th of December, 2011 15:22:53 PM

Most of the cases Medicare doesn't allow new/established inpatient consultation code 9925x series. Therefore in hospital, care is same for new or established. If the hospital encounter (care) is for first time, you should go bill 99221-99223 for initial hospital care. If it is for subsequent care, then you should bill 99231-99233 as per duration of time.

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