Urology Coding Alert

Question: Our urologist saw a patient in the office, then admitted her to the hospital later the same day. Can we bill for the office visit and the first day of admission, or do we just bill for the hospital stay?Iowa SubscriberAnswer: The answer depends on whether your urologist sees the patient on the same day in the hospital.Scenario 1: If the urologist sees the patient in the hospital on the same day he saw her in the office, you're looking at two face-to-face visits on the same date. Report only the appropriate initial hospital care code (99221-99223, Initial hospital care, per day, for the evaluation and management of a patient ...).According to CPT coding guidelines, all initial hospital care services that begin in another place or location (such as the physician's office) should be combined and coded using the appropriate level of initial hospital care. Since the 99221-99223 code [...]