• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki OV during IP stay

GScoder

New
Local Chapter Officer
Messages
7
Location
New Providence, NJ
Best answers
0
Patient was in Children's Specialized Hospital for 8 days. Child was transported from CSH to surgeon's office. HNJH denying surgeon's OV stating child was IP. Anyone know if there is a special modifier/code for this situation? Asked HNJH what service code CSH billed and I was told IP. They did not provide a service code. Thanks!
 
If the patient was inpatient status at the time of the service, you'll need to bill the hospital as place of service on your claim and use an inpatient E&M code in place of an office E&M code. So you'll need to look at the ranges 99221-99238 and 99251-99255 for your E&M codes in this case.
 
Top