Ok all my E/M friends, I need your help. I am having troubles understanding the 99234-99236. Here is my dilema.
Now keep in mind I am billing for the physician, not the hospital.
I have a patient that comes into the ER at 11:59PM on Monday 6th. The ER goes ahead and admits him to OPO on Monday the 6th. However, my Dr does not come in until Tuesday morning on the 7th to do his H/P. Well later that evening on the 7th, the Dr has decided to go ahead and discharge the patient.
Now here is the problem.I have been told 2 different ways on how I should bill this.
1st way: The dr can bill 99234-99236 since he didn't actually see and discharge the patient until Tuesday 7th.
2nd way: Since the patient came into the ER the night before the only thing the Dr can bill is the 99218-99220 or 99217 because it has already crossed over the midnight mark. Therefor the Dr can only bill for Tuesday 7th 99218-99220 or 99217.
Now I have searched and searched everywhere for proof on what to do, and I Have had 4-5 different opinions both different. Does anyone know what the AMA says about this? We have tried contacting them but never receive an answer. I need some input....real actual input...
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