ER Consult, IP admission and discharge on same day

dovejsd

Networker
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40
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Physician did a consult in the ER and then admitted the patient to the hospital. Patient was leaving AMA, so they gave discharge instructions. All of this was on the same date. Should I bill a consult and then an admission/discharge on same date? Suggestions?????
 

cedwards

Guru
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Hamden
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I would not bill a consult and an admit/discharge on the same day. I would just bill the admit/discharge on the same day code for this. Per CPT when a patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (such as ED) all E/M services provided by that physician in conjunction with that admission are considered part pf the initial hospital care when performed on the same date as the admission. I would use the work the physician provided as the consult and the admission note to determine my admit/discharge code.
 
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