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ED to Inpatient on Same Day

  1. #1
    Default ED to Inpatient on Same Day
    Medical Coding Books
    Scenario: Patient comes into ED, Dr. A bills a 90801. Patient admitted to inpatient from the ED (same day), Dr. B bills 90801. Dr's are within the same group, same specialty. As a group should we only be billing 1 of the 90801s?

    Dr's say patient may need an eval when they come into the ED then again when they reach the floor. I was thinking a consult code in ED (3 r's covered) and 90801 or 99221-3 on the floor but I don't think these codes can be billed together on same day.

    Please share your thoughts. Thanks!
    Donna E. Young, CPC

  2. #2
    When we have patients come into the ED, they are usually evaluated by one of our regular docs who bill an admit 9922_code. Then the psych sees them and bills his 90801.

    I can not see the medical necessity of 2 90801's done on same day. If that's your docs do it, only one of them can bill it.

    If one of your psych docs is actually admitting the pt, then I would have that doc bill admit and the second one do the 90801. But then you could still run into issues of 2 docs in same group/specialty seeing patient on same day.

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