Wiki "Other outpatient services"

rmcgilton

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Deville, LA
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I work for a cardiologist who is on staff at a local hospital. He was consulted by an ED physician to see a patient who was on observation status. We billed for the consult and next day visit with observation codes but received a denial from Medicare. Another biller in the office called Medicare and they told her that we could bill 99215 (office visit code) for the consult and subsequent visit for POS: 22.
Myself and my supervisor have never heard of this being done. Medicare actually paid the claim :eek:. Has anyone else billed any 99201-99215 codes for patients seen in the hospital on observation status?
 
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