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Wiki Inpatient admissions
- Thread starter smelugin
- Start date
balamuruganm
Guru
HI
CMS has not required modifier AI reporting to involve a formal transfer of care. It stands to reason that the attending of record will not have to append modifier AI to their service, as this transfer service is reported as subsequent hospital care (99231-99233) and not as an initial hospital-care service (99221-99223)
Regards,
Balamurugan M,CPC,COC,CCS
CMS has not required modifier AI reporting to involve a formal transfer of care. It stands to reason that the attending of record will not have to append modifier AI to their service, as this transfer service is reported as subsequent hospital care (99231-99233) and not as an initial hospital-care service (99221-99223)
Regards,
Balamurugan M,CPC,COC,CCS
jdibble
True Blue
The admitting physician would append the AI modifier to their billing code - whether is it 99221, 99222 or 99223. If the doctor is a consulting doctor, they would use the appropriate inpatient E/M level code depending on the documentation without the AI modifier. What this means is that if their documentation is not enough to meet the requirements of the lowest level initial admit code - 99221 (detailed history, exam and MDM of SF/low) - then you would assign the correct subsequent visit level (99231-99233) according to what was documented.
Hope this helps!
