admit

  1. C

    Wiki 99234-99236 Admit / Discharge Same Date

    To calculate time of more than 8 hrs but less than 24 hrs guideline for admit/discharge same date (99234-99236), which of the following should be used? a. ER/hospital arrival time and discharge b. inpatient/observation order time and discharge c. physician's initial visit and discharge
  2. C

    Wiki Admit Discharge Same Date 99234-99236

    Patient arrived in ER July 30 at 9 p.m. Resident physician evaluated patient on July 30 at 11:00 p.m., then placed an inpatient status order at 11:45 p.m. Attending physician evaluated patient the following morning on July 31 at 6 a.m. Patient was discharged on July 31 at 12 p.m. Would...
  3. B

    Wiki Ortho to Hosp Admit

    B][/B]I need some help with an e/m situation. I have a doctor here in our Ortho practice that saw a patient on one day (lets say Monday) and admitted her that day to the hospital. He is also the operating surgeon and saw the patient the next day (lets say Tuesday) in the hospital and then...
    • bmcampbell
    • Thread
    • admit hospital inpatient orthopaedic outpatient
    • Replies: 3
    • Forum: E/M
  4. P

    Wiki Non-medicare initial inpatient admissions

    Good morning, Generally speaking (and per Medicare), the reporting date for the admission service (99221-99223) is the date the visit actually occurs. I work in a pediatric hospital so we see a lot of commercial patient and hardly any Medicare patients. We do see a lot of Medicaid patients...
  5. M

    Wiki Observation Admit - CPT 99218-99220

    Good morning, If there is not enough documentation to support an initial observation admit (99218-99220), would you change this to a subsequent visit (99224-99226) or consult visit (99241-99245)? Thanks, Mary
  6. M

    Wiki Observation to Admit Status for Medicare Patient

    Previously if a patient was admitted for an observation status which turned into an admit status, an office would bill the admit charge as it was the highest level. However, there are some changes with Medicare and the guidelines of observation and 2 midnight stays? Can someone tell me what...
  7. B

    Wiki Attempted Insertion Of Port-A-Cath

    The surgeon tried several times to insert the Port-A-Cath and he encountered air on 2 attempts. He had x-rays taken and found the patient had bilateral pneumothorax and admitted her to Obs. The next day he inserted a chest tube. Should I code the aborted Port-A-Cath placement with a 53 modifier...
  8. T

    Wiki Cigna denying F1220 as admitting dx code

    I work at an inpatient facility for substance abuse and my claims for residential level of care are making it through my clearinghouse, but being blocked by the payer CIGNA stating that the "admitting diagnosis code: invalid for payer." The code DSM 5 Description for F1220 is for Cannabis use...
  9. H

    Wiki Acute to Swing Bed Coding

    I've come across an issue with our patients being discharged from acute and being admitted to swing bed on the same day. I've learned it's no longer appropriate to code SNF codes for swing bed visits and therefore are using the same 'code set' (inpatient- initial, subsequent, discharge) for both...
  10. J

    Wiki Post procedural admit

    I don't code a lot of surgery stuff so my apologies if this is really simple. Patient has a procedure in the ASC at a medical facility. Patient then has to be admitted for post op pain control to the hospital as an inpatient. (2 different facilities). will the admit be billed and paid? Or is...
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