Results 1 to 10 of 10

Critical care with a discharge

  1. #1
    Location
    Kachina Coders
    Posts
    53
    Default Critical care with a discharge
    Exam Training Packages
    Inpatient scenerio. patient seen with a cc code of 99291 then was transfered out to another hospital on the same day as the doc did a discharge summary of 99239. which code do i use the 99291 or the 99239 since both of these codes are correct and both done on the same day.
    Cynthia
    Mesa, AZ
    CPC

  2. #2
    Location
    Kachina Coders
    Posts
    53
    Default
    Please, can someone give me some help over here!!!!!
    Cynthia
    Mesa, AZ
    CPC

  3. #3
    Location
    San Antonio, Tx
    Posts
    73
    Default
    What was the date of admit? If it is the same as the date of discharge then use 99234-99236. If not, then you can only bill one or the other (99291 or 99239). You can not bill anyother code with 99238-99239 on the same date of service. I hope I haven't caused you more confusion. Other thoughts out there?
    Ray Galvez CPC

  4. #4
    Location
    Kachina Coders
    Posts
    53
    Default
    this is not an observation patient or on the same day as the admit.

    It answers one on my questions,

    now that i can only bill out for one code which code do i bill for? the 99291 or the discharge 99239.
    Cynthia
    Mesa, AZ
    CPC

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Do you have the documentation to support the Critical care code? The provider has to state how much time was spent with the pt and cannot be seeing other pts at the same time.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  6. Default
    Well since you can't use both I would use the Critical Care code. BUT Only if the Dr has documented he/she spent more than 30 minutes critical care time with patient. It will get the Dr more money and as long as it supports the time documentation it is perfectly ok to use.

  7. #7
    Location
    Kachina Coders
    Posts
    53
    Default
    Yes all requirements are met for both codes.
    Cynthia
    Mesa, AZ
    CPC

  8. #8
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Your the coder, time to make the decision!
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  9. #9
    Location
    Kachina Coders
    Posts
    53
    Default
    Thank you for your help!
    Cynthia
    Mesa, AZ
    CPC

  10. #10
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    that is the best part of this forum...we all help each other.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

Similar Threads

  1. Critical Care & Discharge Same Day?
    By jocarter in forum Internal Medicine
    Replies: 3
    Last Post: 11-12-2013, 10:48 AM
  2. critical care and discharge on same day
    By jmorris in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-03-2012, 04:04 PM
  3. Replies: 11
    Last Post: 02-21-2011, 12:06 PM
  4. Replies: 4
    Last Post: 10-19-2010, 10:37 AM
  5. Replies: 2
    Last Post: 07-22-2010, 08:48 AM

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?

Login

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.