Question Outpatient or Inpatient E/M

syounger

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Location
Pasadena, CA
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I have a provider who saw a new patient via telemedicine. This patient was an 'inpatient' at an outside facility for unrelated symptoms. My provider isnt privileged at the patient's hospital. What would be the correct E/M code or location? Thank you.
 

lcolborn

Guru
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If this is the first time the provider is seeing the patient, it would have to be from these codes 99202-99205. Place of service is 02, with a 95 modifier for the
telehealth visit ( note: some carriers uses GT or GQ).
 

AmandaBriggs

Expert
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305
Location
Coeur d'Alene, Idaho
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I feel that because the patient's status was inpatient, you would use the inpatient codes 99221-99223 with POS 21. I think you'll get a denial if you try to use the outpatient codes and office POS.
 
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