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Annie Posted Fri 13th of June, 2014 17:21:54 PM

How would you code or what range of codes should be used in the following Medicare Patient scenario:

Orthopedic Surgeon admits patient with H&P on day 1 for hip fracture without surgery. Which code range should be used?

Hospitalist is consulted for medical management on day 2-4.Which code range should be used?

Orthopedic Surgeon provides ortho managment on days 3-5(meaning the patient is seen by both the hospitalist and orthopedic surgeon for two days.Which code range should be used?

Orthopedic Surgeon discharges the patient.Which code range should be used?

SuperCoder Answered Wed 18th of June, 2014 14:57:53 PM

Below are the code ranges mentioned under your question for better understanding:

Orthopedic Surgeon admits patient with H&P on day 1 for hip fracture without surgery. Which code range should be used?

99221-99223 - Initial hospital care for the orthopedic surgeon, with AI modifier as he is the admitting doctor.

Hospitalist is consulted for medical management on day 2-4.Which code range should be used?

99231-99233-Subsequent hospital care for the hospitalist.

Orthopedic Surgeon provides ortho management on days 3-5(meaning the patient is seen by both the hospitalist and orthopedic surgeon for two days. Which code range should be used?

99231-99233 - Subsequent hospital care for orthopedic surgeon

99251-99255 - Inpatient consultation for hospitalist but Medicare does not pay consultation codes. Hence need to code range 99221-99223 for hospitalist with mod 25

Orthopedic Surgeon discharges the patient. Which code range should be used?

99238-99239 Discharge code for the orthopedic surgeon

Thanks.

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