Same Day Admit and Discharge Codes

cbooker

Networker
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Location
Harrisburg, PA
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Patient was admitted and discharged on the same date by general surgeon. On same day patient had appendectomy. Would I bill an initial H & P (99221 - 99223) with the surgery or would it be same day admit and discharge (99234-99236).
 
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Was this stemming from an ER visit? If so, was the general surgeon brought in for an eval and then made the decision for surgery?
 
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