cpccoder2008
True Blue
Our patients usually come in through our clinic and it is decided at that visit the patient will need to have surgery. They are sent to pre-admit and labs that day then told to return several weeks later for surgery. On the day of surgery they report to clinic and sent straight up to surgery. Our doctor's are billing either 99214-99215 for the office visit, my question is can they also bill an admit code 99221-99223 on the admit day. They usually perform a H&P on the office visit day which is why they bill higher level office visits then on the day of admit they might do a brief H&P so if anything you would have enough for 99221. I dont think it would be appropriate to bill two visits since the office was already billed. If a patient comes in through clinic and admitted that day you can only bill one so why would this be any different ? Just want to make sure i'm on the right track cause my doctor's want to bill. Thanks