Wiki Inpatient Consult & Critical Care

[jwenger13]

Trying to find somewhere if it is correct to bill for an inpatient consultation and later in the day have the same physician bill for a critical care code on the same patient.

 

[eskovira]

Per Medicare's Change Request 5993, Sec. 5993.10 reads as follows: Contractor shall instruct physicians and qualified NPPs that when critical care services are performed on the same date after an earlier service was performed in the office/outpatient, inpatient hospital or hospital ED and critical care was not required at that time, both the critical care and other E/M services by the same physician are payable (Sec 30.6.12 H)

 

[jwenger13]

Thanks for the assist, this answers my concern!!