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Wiki Inpatient Consult & Critical Care

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jwenger13

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Niles, MI
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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.
 
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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)
 
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