Results 1 to 3 of 3

ER to Inpatient

  1. #1
    Question ER to Inpatient
    Medical Coding Books
    Scenario: Patient comes into ER, psychiatrist is asked to consult and determines patient should be admitted to psych floor. The attending, within the same psychiatrists' Dr group, evals the patient on the psych floor on the same day as the ER visit. Can the consult in the ER be billed from the E/M consult codes (99241-5) and the inpatient psych eval be billed (90801) on the same day? We are wondering because of the Drs being from the same group.

    Donna E. Young, CPC

  2. #2
    Milwaukee WI
    Default Two differen specialties
    If the physicians are in the same group (same tax ID) but of two different specialties they can each bill for their services independently of one another.

    F Tessa Bartels, CPC, CPC-E/M

  3. #3
    They are of the same specialty. They say sometimes the patient would need to be evaluated again once they reach the floor. I am thinking we can only bill 1 of the services. It looks that way from the CCI edits. Any comments? Thanks!
    Donna E. Young, CPC

Similar Threads

  1. Replies: 2
    Last Post: 05-22-2013, 12:54 PM
  2. Replies: 0
    Last Post: 03-28-2013, 08:29 AM
  3. Replies: 0
    Last Post: 03-20-2013, 07:46 AM
  4. Replies: 0
    Last Post: 03-14-2013, 10:34 AM
  5. Replies: 2
    Last Post: 03-11-2011, 12:42 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.