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Old 11-26-2008, 10:55 AM
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randiroyder randiroyder is offline
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Question Discharge Code for day of death?

How would you code an inpatient stay for a patient on their day of death. One of my doctors saw the patient and pronounce them dead and spoke to the family afterwards. Can you use a discharge code?
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Old 11-26-2008, 12:16 PM
cpclori cpclori is offline
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Hi Randi I do Hospitalist coding. We charge either 99238 or 99239 ( time must be documented) as a discharge for all paperwork and counseling involved. Only one MD can charge this code. Medicare has information regarding this in their E&M guide.
Lori-Hampton NH
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Old 11-26-2008, 12:18 PM
jek521 jek521 is offline
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For CMS, the physician has to personally make the death pronouncement face-to-face before billing for a discharge. Below is a link to our Part B carrier's summary of this.

http://www.wpsmedicare.com/part_b/pu...services.shtml

Jen
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Old 11-26-2008, 04:08 PM
dpeterson39 dpeterson39 is offline
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This is also noted in the Principles of CPT 4th addition on Page 61 and 5th addition on page 66. You would chose the 99238 or 99239 depending on time spend as relayed by the ladies above. The Principles can be googled on-line if the books are not available to you. Peace and Many Blessings! -D
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Old 11-26-2008, 04:15 PM
RebeccaWoodward* RebeccaWoodward* is offline
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Hospital Discharge Management and Death Pronouncement Only the physician who personally performs the pronouncement of death shall bill for the face-to-face Hospital Discharge Day Management Service, CPT code 99238 or 99239. The date of the pronouncement shall reflect the calendar date of service on the day it was performed even if the paperwork is delayed to a subsequent date.

30.6.9.2 E


http://www.cms.hhs.gov/manuals/Downloads/clm104c12.pdf
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Old 11-30-2008, 08:05 PM
cinnamon cinnamon is offline
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Thumbs down USe can 99238 or 99239- make sure you use 2008 or 2009 CPT books

Quote:
Originally Posted by randi haight View Post
How would you code an inpatient stay for a patient on their day of death. One of my doctors saw the patient and pronounce them dead and spoke to the family afterwards. Can you use a discharge code?


Depending on the dates of service, make sure if pt expired after after 10/1/2008 use the new 2009 books for proper reimbursement and if before 10/1/2009 u use the 2008 CPT/ICD-9 coding books. This will affect the coding and reimbursement if proper coding books is not use as well.
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Old 11-30-2008, 11:34 PM
ruhood ruhood is offline
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cinnamon, please check your information. ICD9 code changes are effective Oct. 1, but CPT codes don't take effect until Jan. 1 of each year.
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Old 05-07-2009, 09:42 AM
mb12345 mb12345 is offline
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What if the Resident does the Pronouncement and the Attnding is on campus but bot having face to face contact, does this mean the Death Pronouncement cannot be billed at all?
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Old 09-10-2009, 01:21 PM
debarr debarr is offline
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Default Paperwork involved with death discharge

What paperwork is necessary for the doctor to bill the discharge for the pronouncing? I have an ER doctor that came up (patient was in a swing bed after being inpatient for surgery) and pronounced the patient...so the ER doctor can bill the discharge? The surgeon signed the death certificate with the dx for death...I am all confused. I believe I can bill the ER doctor for the discharge or a subsquent visit?
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Old 11-01-2010, 11:50 AM
sherisoder sherisoder is offline
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Default How to bill for death at home

What if the MD went to the patient home to do the death pronouncement. Has anyone billed for this? Would I use CPT 99339? Thanks!
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