Velosarafter
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Hello Friends!
I have recently been asked for some clarification on how we do E&M coding for an inpatient setting. We are an infectious disease specialty clinic and are called in for consultations. Sometimes it is a patient that we have already seen in our clinic, and the consult is for the same reason we were treating them. Sometimes that patient will need a consult for something completely different.
The debate is how to properly code for the consults. When I started working for the office, I was informed that we treat a patient as a "new" patient if the consultation is for something different that what we were seeing them for in the office. Example: A patient with TKA PJI was seen in clinic and is now in the hospital for infective endocarditis. I was also told to use 9922X for a new patient.
For these types of patients, would we use 9925X for the initial visit, then 9923X for the F/U's? A large portion of our patients are Medicare/Medicaid.
Some help from my "seasoned" friends would be greatly appreciated! Have a wonderful day!
I have recently been asked for some clarification on how we do E&M coding for an inpatient setting. We are an infectious disease specialty clinic and are called in for consultations. Sometimes it is a patient that we have already seen in our clinic, and the consult is for the same reason we were treating them. Sometimes that patient will need a consult for something completely different.
The debate is how to properly code for the consults. When I started working for the office, I was informed that we treat a patient as a "new" patient if the consultation is for something different that what we were seeing them for in the office. Example: A patient with TKA PJI was seen in clinic and is now in the hospital for infective endocarditis. I was also told to use 9922X for a new patient.
For these types of patients, would we use 9925X for the initial visit, then 9923X for the F/U's? A large portion of our patients are Medicare/Medicaid.
Some help from my "seasoned" friends would be greatly appreciated! Have a wonderful day!