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Wiki Billing Observation Codes

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jenski37

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My Cardiologist see's patients as observation at the hospital frequently and is not the admitting/attending Dr and he bills 99212-99215. Some insurances state that 99212-99215 is an OV and charges the patients a copay. If I can not bill a new patient code 99201-99205 or a consult 99241-99245 then what is appropriate?

Per the AMA 2016 CPT book, INITIAL OBS CARE- NEW OR EST PATIENT- it states "For observation encounters by other physicians, see office or other patient consultation codes (99241-99245) or subsequent observation care codes (99224-99226) as appropriate".

Some guidance would be greatly appreciated.
Thank you in advance.
 
It was always my impression that you bill the codes 99212-99215. This does mean that that patient gets charged a copay. Unfortunately that is the way the insurance companies have it set up.
 
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