Webinar Registration Closing Soon! E/M Coding, Documentation, and EMR Tips | Earn 1 AAPC CEU Register Now

Regular Price: $24.95

Ask an Expert Starting at $24.95

Have a medical coding question? Get definitive answers from TCI SuperCoder's Ask an Expert.

Browse Past Questions By Specialty

+View all
Sandeep Posted 4 month(s) ago
In case of Medicare and Medicaid insurance, what should be observation (subsequent care) codes in E& M.( POS- Outpatient)
SuperCoder Posted 4 month(s) ago


As per CMS guidelines, Medicare do recognize 99224-99226 codes. As per guidelines, outpatient admitting/attending physician can bill initial and subsequent observation codes.  However, for the doctor who is not the admitter, they would need to code 99221-99215. Medicare only comes into play when a consult is request. Because Medicare does not recognize consult codes, you have to use an office visit code instead.


Posted by Sandeep, 4 month(s). There are 2 posts. The latest reply is from SuperCoder.

Related Topics