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

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calorom2

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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.
 
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."
 
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
 
csperoni@northwell.edu said:
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."
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Thank you!
 
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