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ED to Inpatient on Same Day

D

deyoung

Guru
Messages
139
Location
Glendale, AZ
Scenario: Patient comes into ED, Dr. A bills a 90801. Patient admitted to inpatient from the ED (same day), Dr. B bills 90801. Dr's are within the same group, same specialty. As a group should we only be billing 1 of the 90801s?

Dr's say patient may need an eval when they come into the ED then again when they reach the floor. I was thinking a consult code in ED (3 r's covered) and 90801 or 99221-3 on the floor but I don't think these codes can be billed together on same day.

Please share your thoughts. Thanks!
 
When we have patients come into the ED, they are usually evaluated by one of our regular docs who bill an admit 9922_code. Then the psych sees them and bills his 90801.

I can not see the medical necessity of 2 90801's done on same day. If that's your docs do it, only one of them can bill it.

If one of your psych docs is actually admitting the pt, then I would have that doc bill admit and the second one do the 90801. But then you could still run into issues of 2 docs in same group/specialty seeing patient on same day.
 
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