venitacason
Contributor
Hi, friends! Question for all of you Global Surgical Period experts
*****Background*****
Patient is OPIB (outpatient in bed or bedded outpatient status) who is neither inpatient nor observation but is occupying a bed in the hospital....
*****Scenario 1*****
Patient just had surgery and I, as a hospitalist, accepted transfer of care from the surgeon in a formal agreement.
Patient is seen by me overnight (reminder patient is OPIB) I will submit claim as follows
CPT 99024
Modifier 55
POS 22
(I believe this would be correct)
*****Scenario 2***** HELP!
Patient just had surgery and I, as a hospitalist, am consulting on the patient (just checking that they're OK). There was no formal transfer of care and nothing is wrong with the patient....patient can go home in the morning. Reminder that patient is OPIB. I will submit the claim in one of the following ways (WHICH WAY?!)
1) CPT 99024, Modifier ?, POS 22
or
2) CPT 99203, No modifier, POS 22
and if you chose 99203 (new patient office visit) - why?
*****Background*****
Patient is OPIB (outpatient in bed or bedded outpatient status) who is neither inpatient nor observation but is occupying a bed in the hospital....
*****Scenario 1*****
Patient just had surgery and I, as a hospitalist, accepted transfer of care from the surgeon in a formal agreement.
Patient is seen by me overnight (reminder patient is OPIB) I will submit claim as follows
CPT 99024
Modifier 55
POS 22
(I believe this would be correct)
*****Scenario 2***** HELP!
Patient just had surgery and I, as a hospitalist, am consulting on the patient (just checking that they're OK). There was no formal transfer of care and nothing is wrong with the patient....patient can go home in the morning. Reminder that patient is OPIB. I will submit the claim in one of the following ways (WHICH WAY?!)
1) CPT 99024, Modifier ?, POS 22
or
2) CPT 99203, No modifier, POS 22
and if you chose 99203 (new patient office visit) - why?