I am requesting documentation standards/guidelines/requirements used to support hospital discharge day management codes.(Codes 99238-99239). I am looking for CMS, Major Insurance Payer, or Industry Standard guidelines. Any information provided would be helpful. Thank you.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Hospital Discharge Day Management Services - Codes 99238-99239
- Thread starter Regners
- Start date
RebeccaWoodward*
True Blue
Is this what you're looking for?
B. Hospital Discharge Day Management Service
Hospital Discharge Day Management Services, CPT code 99238 or 99239 is a face-to-face evaluation and management (E/M) service between the attending physician and the patient. The E/M discharge day management visit shall be reported for the date of the actual visit by the physician or qualified nonphysician practitioner even if the patient is discharged from the facility on a different calendar date. Only one hospital discharge day management service is payable per patient per hospital stay.
Only the attending physician of record reports the discharge day management service. Physicians or qualified nonphysician practitioners, other than the attending physician, who have been managing concurrent health care problems not primarily managed by the attending physician, and who are not acting on behalf of the attending physician, shall use Subsequent Hospital Care (CPT code range 99231 – 99233) for a final visit.
Medicare pays for the paperwork of patient discharge day management through the pre- and post- service work of an E/M service.
http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
30.6.9
B. Hospital Discharge Day Management Service
Hospital Discharge Day Management Services, CPT code 99238 or 99239 is a face-to-face evaluation and management (E/M) service between the attending physician and the patient. The E/M discharge day management visit shall be reported for the date of the actual visit by the physician or qualified nonphysician practitioner even if the patient is discharged from the facility on a different calendar date. Only one hospital discharge day management service is payable per patient per hospital stay.
Only the attending physician of record reports the discharge day management service. Physicians or qualified nonphysician practitioners, other than the attending physician, who have been managing concurrent health care problems not primarily managed by the attending physician, and who are not acting on behalf of the attending physician, shall use Subsequent Hospital Care (CPT code range 99231 – 99233) for a final visit.
Medicare pays for the paperwork of patient discharge day management through the pre- and post- service work of an E/M service.
http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
30.6.9
heatherwinters
Expert
Discharge Codes
look at these links
www.lamedicare.com/provider/medguide/coverage41.pdf
[SIZE=-1]www.cms.hhs.gov/Transmittals/Downloads/R1460CP.pdf[/SIZE][SIZE=-1] - 2008-11-03[/SIZE]
look at these links
www.lamedicare.com/provider/medguide/coverage41.pdf
[SIZE=-1]www.cms.hhs.gov/Transmittals/Downloads/R1460CP.pdf[/SIZE][SIZE=-1] - 2008-11-03[/SIZE]