No. These intensive (and critical) care codes should only be billed by the attending service. Code to the documentation. Did your urologist perform the procedure? Was it a consult? If your urologist documented providing critical care, use the time based critical care codes (99291-2).My urologist was asked to see a patient in the NICU who had a circ an hour prior. Do I bill 99477 or how do I bill for this?
I have not heard of this practice. Do you know what the rationale is for coding consults this way?So when I started at my job, we have always used subsequent hospital codes for inpatients instead of consult codes. Has anyone heard of this or is anyone else doing this?
I don't have a complete list of insurances who does and does not pay for consultations, however this might be more of a trial and error method.Do you guys know what insurance companies do not pay for consult visits?
Can you give me an example of this? I look at the Initial visit much like a hospital New patient (for that hospital stay only), but the CPT book might have something else to say about that (don't have it handy right now).Can you bill for the initial even if your own doctor wasn't the admitting doctor?
For inpatient you can use 99221 - 99223 for initial visits or consults, as the admitting MD will use modifier AI with his/her initial. As far as OPPS only the admiting MD can use 99218 - 99220. You would have to use 99201-99205, 99241-99245. For subsequent visits you use 99212-99215 for OPPS.Can you bill for the initial even if your own doctor wasn't the admitting doctor?