• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We’re introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Billing of a skilled nursing home admit


Best answers
When a patient is discharged from acute care status at the hospital and admitted to swingbed skilled care status within the same hospital on the same day and the doctor makes only one face-to-face visit are you able to bill both the Discharge from acute hospital visit (99238) and an admit to SNF for the same day. The physician does dictate a Discharge summary but there is no additional exam noted or dictated for the admission to the SNF in the SNF medical record chart.

Also we have another question:

When coding for clinic services. I am being told by the biller that you can never list any V codes as primary or they will deny. Is this correct information? I was trying to use the “Aftercare following the fracture” codes V54.1x and was told that we should use the acute fracture codes instead. Thanks!

ANy help would be appreciated. Thanks.