Wiki E&m codes

[MMORITZ]

Hi my name is Mary,
If our DR is an ophthalmology and he went to see a pt who is in observation in the hospital and they bill it as an outpatient; can we bill cpt 99223 with place of service 22?
Thank You

 

[RebeccaWoodward*]

Hi my name is Mary,
If our DR is an ophthalmology and he went to see a pt who is in observation in the hospital and they bill it as an outpatient; can we bill cpt 99223 with place of service 22?
Thank You

99223 is inpatient hospital care; POS 21. Initial observations are reported with 99218-99220.

 

[MMORITZ]

cpt 99218-99220 is not on fee slip for insurance company

What do we do if this is now on the fee schedule with anthem?
thanks mary

 

[RebeccaWoodward*]

Mary,

Not quite sure I understand. Are you saying that the carrier does not recognize these codes (99218-99220)?

 

[MMORITZ]

I called insurance co

Yes but I called them and they will cover these observation codes.//Thank You for your time!!!
Have a good day and weekend!!!

 

[RebeccaWoodward*]

Happy to help

You have a wonderful weekend, too.