Resolved Conditions and In patient E/M services

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Malone
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Do the same guidelines apply when billing in patient evaluation and management services for physician services that apply to out patient? Only bill confirmed dx, do not bill resolved conditions. I have a clinician that is documenting resolved conditions on the discharge summary for billable icd-9 codes for 99238 and 99239 cpts and alot of "suspected" dx on 99221 thru 99233 cpt's. Thanks

Heather
 

Brookecs

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I'm not quite sure if I understand your question. If you are coding inpatient records, you wouldn't use an e/m code or any code from CPT for that matter. You would use ICD-9 vol. 3 for all procedure codes. To ensure that you are coding inpatient and outpatient correctly, i recommend reading the guidelines in ICD-9 with regards to inpatient and outpatient diagnosis codes.
 

kevbshields

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I'm not sure what Brookecs is talking about.

To answer your question, when billing inpatient pro fees, you do use the ICD-9 diagnostic coding guidelines listed for OP (e.g., greatest degree of certainty, etc).

Hope this helps.
 
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