Wiki Outpatient in a Bed...not Observation or Inpatient

[calorom2]

If my cardiologist is asked to see a patient at the hospital who is classified as outpatient in a bed...neither inpatient or observation...how do I/can I code for that and what E&M would be used if so? Provider was recently called in to consult a patient as a second opinion for a Watchman and the patient was classified as outpatient in a bed.

Thank you.

 

[CodingKing]

22 is outpatient hospital.

 

[calorom2]

22 is outpatient hospital.

POS 22 I understand...but what E&M would be used? It wouldn't be a 99222 or 99219.

 

[csperoni]

Same codes as office visit

You would use 99241-99245 (if not Medicare and insurance recognizes consult codes), or 99201-99205 (Medicare or any other carrier not recognizing consult codes), or 99211-99215 if pt was seen by your group in the past 3 years. The heading of those E&M codes are "Office or OTHER OUTPATIENT SERVICES."

 

[KimberlyStewart]

Observation

POS 22- patient is observation status, established patient with our oncologist/hematologist, Hospitalist calls for a consult, can physician bill 99211-99215, or should I use 99224-99226?

Thank you Kimberly Stewart

 

[calorom2]

You would use 99241-99245 (if not Medicare and insurance recognizes consult codes), or 99201-99205 (Medicare or any other carrier not recognizing consult codes), or 99211-99215 if pt was seen by your group in the past 3 years. The heading of those E&M codes are "Office or OTHER OUTPATIENT SERVICES."

Thank you!

 

[KimberlyStewart]

Observation

one more question, when would we use the observation codes 99224-99226?

 

[CodingKing]

one more question, when would we use the observation codes 99224-99226?

When the patient has been admitted to observation status. Until that order has been written, its just plain old outpatient hospital.