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Wiki Billing Discharge 99238

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KoBee

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I noticed a EP physician schedules patient to have a dual chamber ICD as an outpatient, but then he is dropping a charge for 99238 for next day. I emailed him and said "This was an outpatient procedure which they stay overnight for " ..

Isn't discharge 99238 included in global of procedure of 33249? There is no inpatient order, anyone help :/
 
You are correct...99238 is an Inpatient Hospital Discharge. If your patient was not admitted there is no discharge. Well technically your physician probably did have to fill out paperwork for the patient after the procedure...but none that he/she can charge for.
CPT code 33249 has a 90 day global...so unless there was an unrelated problem after the ICD placement the EP cannot bill for an E/M of any type.
 
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