Wiki Consult-Office to NF

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Our docs are requested to perform consults for pain management. If they perform an initial consult/visit in the office (99204) and then see the patient in a nursing home a week later, is this initial (99305) or subsequent (99308)? What if they see them later in the hospital? Would this be initial (99221) or subsequent (99232)?
 
If all visits are billed under the same practice, both of the follow up visits in the nursing home and/or hospital would be considered subsequent/established patient visits.

Jonique Dietzen, CPC
 
If all visits are billed under the same practice, both of the follow up visits in the nursing home and/or hospital would be considered subsequent/established patient visits.

Jonique Dietzen, CPC

I respectfully disagree. The Inpatient POS and NF POS sections of the E/M codes don't follow new/establ rules. If you look at the section heading for these codes, you'll see they are for new OR established patients. The "initial" codes 99221-3 and 99304-6 are just that...the initial visit that the provider is performing for that inpatient encounter.

HTH!
 
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