Gastroenterology Coding Alert
Initial Observation Codes Are for the Admitting Doctor Only
Question: If one of our doctors is called in to consult on a patient who was admitted to observation by another doctor, are there any circumstances under which we can report the consultation using the initial observation care codes? Answer: Not if your doctor isn't the one who admitted the patient to observation. Select the appropriate-level consultation code (99241-99245). - Clinical and coding expertise for You Be the Coder and Reader Questions provided by Michael Weinstein, MD, a gastroenterologist in Washington, D.C., and former member of the CPT advisory panel; and Linda Parks, MA, CPC, CCP, coding and billing coordinator for GI Diagnostic Endoscopy Center in Atlanta.
West Virginia Subscriber
Keep in mind that only the admitting physician can get reimbursed using initial observation codes. Any E/M services given by another physician must be billed using the consultation codes (99241-99245).
Gastroenterology Coding Alert
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Initial Observation Codes Are for the Admitting Doctor Only
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