subsequent care

  1. P

    Wiki Diagnosis not documented on DOS

    We are doing profee billing for hospital care services. For the initial hospital care (99221-99223) visit documentation states that patient came into the hospital and was found to have an Acute Kidney Injury secondary to Rhabdomyolysis. Coders reported N17.9 (AKI) for this encounter, not...
  2. J

    Wiki Denials for Subsequent Hospital Care (99231 - 99233)

    Hello, Our billing team has been receiving denials from several payers on our Subsequent Hospital Encounter claims (99231-99233). The denials we receive state something along the lines of the code being incident to the primary procedure code or being bundled. Per the CPT book these codes are to...
  3. A

    Wiki patient can not be discharged due to placement issues

    Already have been resolved. Thank you
  4. L

    Wiki 7th character- intial vs subsequent

    General question- I work for an orthopedic practice and pts come to us with acute injuries, however these injuries are most always treated in the emergency room first- labeling that visit the initial encounter. When they seek treatment with us for the first time is that still considered initial...
  5. A

    Wiki Bronchoscopy reimbursement

    :confused:Our pulmonologist questions how payment will be affected when she performs a bronch and wants to bill for subsequent care at the hospital on the same date of service. For our Medicare patients, I have found that reimbursement has not been cut when billed with M-25. Do you have any...