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Inpatient coding for procedure

  1. #1
    Default Inpatient coding for procedure
    Medical Coding Books
    If doctor performs procedure for hospital inpatient, which codes are used for coding, from ICD-10-PCS or CPT?

  2. #2
    Location
    Dover Seacoast New Hampshire
    Posts
    2,020
    Default
    If you are billing the physician's services, you would use CPT. If you are billing that very same service, but for the hospital's portion, you would use ICD-10-PCS.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Default
    Hello,

    keep in mind the because we code a procedure for the hospital it doesn't mean is "inpatient" coding.

    Any place (clinic, hospital or any type of healthcare facility) that uses a CPT book or HCPCS to code is outpatient coding even for hospital services.

    ICD-10-PCS is precisely for inpatient coding, now when it comes to understanding the billing portion just as stated by Pam, when coding especially for the doctors services or the "professional" services you are coding CPT. When you are billing for the hospital (which includes the hospital bed, room, nursing services, medication, monitoring) anything that is not the doctor's services, then a UB04 bill is created for this services as for outpatient (CPT) will be the CMS-1500.
    Marco Unzueta CIC, CPC
    - Medical Records Tech - Inpatient Coder
    - Outpatient Instructor
    AAPC El Paso Chapter - President

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