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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