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DIXIE Posted Tue 22nd of July, 2014 11:41:47 AM

Medicare patients - whom are seen on an inpatient basis - we are not the admitting physician - only consulting - what is the proper code for our initial visit.

SuperCoder Answered Tue 22nd of July, 2014 15:17:18 PM

Thanks for your question.
Since Medicare does not recognize consultation codes, you will need to select a code from the 99221-99223 series.

99221-Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components:
A detailed or comprehensive history;
A detailed or comprehensive examination; and
Medical decision making that is straightforward or of low complexity.

99222-Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components:
A comprehensive history;
A comprehensive examination; and
Medical decision making of moderate complexity.

99223-Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components:
A comprehensive history;
A comprehensive examination; and
Medical decision making of high complexity.

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