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E/m Consult With Admission

  1. #1
    Default E/m Consult With Admission
    Medical Coding Books
    If the doctor performs a consult in the 'er' then decides to admit patient can they use 99245 (outpt consult) or do they have to use the admission levels?

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Hospital Admit vs Outpatient Consult
    I was always taught (and our Compliance office guidance confirms) to always roll-up all the work done into the hospital admission (99221-99223) code.

    However I was at a conference last year where the presenter stated that the surgeon should code the outpatient consult, because that's when the decision for surgery was made.

    If you're not talking about a surgeon, I would code the 9922x based on all the work done that date of service.

    F Tessa Bartels, CPC, CPC-E/M

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