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Wiki What to bill when doc does not meet 99221-99223

ljulien

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NAB Member
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I'm curious as to how people out there handle the below:

Cahaba GBA

If an admission E/M note does not meet the lowest level admission criteria, is it acceptable to bill a subsequent day for the admission?


No, an admission service should be billed.

? Email this FAQ.

FAQ Published: August, 2009 | Last Reviewed: May, 2014
 
Hello,

I am currently taking a coding class for the CPC. I asked this question and the answer was if a physician does not meet the criteria for any initial code then a code from subsequent stay would be selected according to the documentation.
 
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