• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 2 Discharges within 2 Days

Create Wiki
A

amym

Guest
Messages
241
Location
Loganville, GA
Best answers
0
One of our doctors performed an outpatient admission and discharge same day at Hospital A on 4/15. Patient was transferred to Hospital B on 4/15 and went home 4/16. We are trying to bill for another discharge on 4/16 but insurance is denying. Did we bill this appropriately? Do I need a modifier to indicate 4/16 was done at a different facility?

4/15 99235
4/16 99217
 
CPT 99235 should not have been reported if she left the hospital on a different day. In these circumstances i would bill the observation admission code onlyat hospital A....that is probably why the insurance is denying....if your doc was admitting at hosptial b then i would bill the discharge on 4/16 at the seperate facility.

Hope that made sense and helps!
Louise CPC
 
You must log in or register to reply here.
Top