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Kidney transplant

  1. Question Kidney transplant
    Medical Coding Books
    When the patient is admitted to the hospital for the transplant, can the surgeon/admitting physician charge for the Admit H&P? Even if it is a couple of days after an initial transplant consultation? Sometimes this is not a planned admission, but the patient is called when a kidney becomes available.
    Last edited by Yvonne McCreery; 01-29-2009 at 12:59 PM.

  2. #2
    Milwaukee WI
    Default I'm thinking no
    I'm thinking no because although the actual date of the transplant was unknown in advance, the "decision for surgery" was made earlier ... that's why the patient was on the transplant list. Therefore I'd say that the admission E/M is bundled with the surgery.

    But I'd be interested in hearing the arguments from those whose opinion differs.

    F Tessa Bartels, CPC, CEMC

  3. Default Thank you
    Thanks for the input. I would also like to hear any differing or agreeing opinions. The physician is thinking he should be able to charge.

  4. Default Kidney Transplant
    Kidney transplants are considered urgent/emergent and therefore are unplanned. I definitely think the admission is billable because the patient can present to the hospital and after they evaluation they could be turned away if they have a problem detected. I believe the one cavaet is where the transplant is planned with a specific donor, this would be an exception because it would be considered elective.
    Christine Endes, CPC, CIRCC

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