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Thread: Admit thru ER then surgery

  1. #1

    Default Admit thru ER then surgery

    AAPC: Back to School
    We have a patient that came in on Sunday evening. The patient needed to have surgery the next day. The MD who was seeing the patient was already scheduled to have surgeries the next day at a different facility. Therefore, he asks his partner to do the surgery. The patient was initially seen by the first M.D. with H & P dictated admitting the patient. Who gets the admit charge?

  2. #2
    Join Date
    Apr 2007
    Cape Girardeau


    The doctor who did the H&P an seen the patient

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Same practice, right?

    So Dr A sees the patient and admits with decision for surgery. BUT Dr B (who is in the same practice as Dr A) will actually perform the surgery .. right?

    I'd code the 99221-99223 to Dr A w/ a -57 modifier(assuming the surgery will be major). I'd code the surgery to Dr B.

    Whoever does the post-op care gets 99024 during the post-op global period.

    F Tessa Bartels, CPC, CEMC

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