Results 1 to 4 of 4

Thread: Office visit or Hospital Admit?

  1. #1

    Default Office visit or Hospital Admit?

    Promo: Code Books
    If the doctor sees a patient in the office and admits them to the hospital that day, do I code the E/M for hospital admit or just the office visit?

    I have always been taught to code the hospital admit, however, an article is stating to code the office visit.

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    Bill for the admission~

    A. Initial Hospital Care From Emergency Room
    Contractors pay for an initial hospital care service or an initial inpatient consultation if a physician sees his/her patient in the emergency room and decides to admit the person to the hospital. They do not pay for both E/M services. Also, they do not pay for an emergency department visit by the same physician on the same date of service. When the patient is admitted to the hospital via another site of service (e.g., hospital emergency department, physician’s office, nursing facility), all services provided by the physician in conjunction with that admission are considered part of the initial hospital care when performed on the same date as the admission.

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

    30.6.9.1

  3. #3
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
    Posts
    2,046

    Default

    I agree with Rebecca...as long as the provider actually saw the patient in the hospital after the admission...
    Lisa Bledsoe, CPC, CPMA

  4. #4

    Default

    What if the doctor sees the child (or infant) in the office and decides to admit him after a significant work-up, but the residents do the work that night in the hospital? Does our office bill for the office E/M or the admission?

    Thanks

Similar Threads

  1. Office visit and hospital admit
    By carolanntomko in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-07-2014, 05:45 PM
  2. Hospital Admit/Office Visit
    By medcode12 in forum Pediatrics
    Replies: 3
    Last Post: 10-24-2008, 11:54 AM
  3. Office visit vs. Hospital admit?
    By heathergirl in forum Family Practice
    Replies: 6
    Last Post: 10-15-2008, 11:13 AM
  4. Office visit vs. Hospital admit?
    By heathergirl in forum E/M
    Replies: 6
    Last Post: 03-12-2008, 09:21 PM

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.