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Marilyn Posted Thu 31st of March, 2011 22:19:47 PM

I am confusing myself. Receives a hospital face sheet stating patient seen: SRV: 005 Medical Outpatient 3/26/2011-3/26/2011 (example). What are the CPT codes for "outpatient"?

SuperCoder Answered Fri 01st of April, 2011 18:26:29 PM

The problem is not in getting the codes for outpatient. The problem is what is documented of the said outpatient visit.

Thumb Rule: Code what is documented.
So, Not documented, not to be coded.

Plz let me know what is documented in the visit report.

Marilyn Posted Fri 01st of April, 2011 21:37:27 PM

Per hospital face sheet: SRV: 005 Medical Outpatient 3/2/2011-3/2/2011
Primary DX: 786.2

I'm thinking of billing the 9923_ CPT codes(?)

SuperCoder Answered Fri 01st of April, 2011 21:49:40 PM

Just for sake of info: Outpatient codes : 99201-99205(New Patient)
99212-99215 (Est.Patient)

Marilyn Posted Tue 05th of April, 2011 03:28:47 AM

I'm sorry, the patient was seen at the hospital "outpatient".

Marilyn Posted Tue 24th of May, 2011 15:29:50 PM

Sanjit, so use E/M code(s) for hospital outpatient and what about the place of service? Do I use 22?

Judy kay Answered Tue 24th of May, 2011 15:49:02 PM

Yes, the Out-patient hospital visit POS is 22 and use the office/out-patient cpt codes as Sanjit states above

Marilyn Posted Tue 24th of May, 2011 17:52:39 PM

Great. Thank you. I was thinking in the right direction.

Marilyn Posted Tue 24th of May, 2011 17:56:15 PM

So, when the patient was discharged same day from outpatient, then seen at the physicians office same day for a follow up by same physician, the visit at the Drs. office is a wash, don't bill?

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