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Code for pt dying in the hospital

  1. #1
    Salt Lake North
    Red face Code for pt dying in the hospital
    Medical Coding Books
    Patient is in the hospital on "inpatient" status and dies. What code do we use for the discharge of this patient? Is it a regular "discharge" code or a subsequent visit? This is one that you just don'e run into that often. Thank you !!

  2. #2
    Only the physician who formally pronounces the patient expired can bill 99238 or 99239
    Last edited by ARCPC9491; 03-19-2009 at 08:37 AM.

  3. #3
    North Carolina
    E. Hospital Discharge Management and Death Pronouncement
    Only the physician who personally performs the pronouncement of death shall bill for the face-to-face Hospital Discharge Day Management Service, CPT code 99238 or 99239. The date of the pronouncement shall reflect the calendar date of service on the day it was performed even if the paperwork is delayed to a subsequent date.

    Page 9
    Rebecca CPC, CPMA, CEMC

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  4. #4
    Milwaukee WI
    Default Critical care
    I agree with AR & Rebecca ...BUT

    If the patient was critically ill, AND the physician provided critical care services, AND time (at least 30 minutes) is documented, then you might be able to code Critical Care.

    Lots of Ifs ....

    Hope that's some help.

    F Tessa Bartels, CPC, CEMC

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