You cannot code the initial inpatient visit until the next day when the physician actually saw the patient in the hospital. You can charge an office visit for the first day and then on the day of the initial inpatient visit you would charge the 99221,99222 or 99223 depending on the documentation. Different carriers want different codes if there is not enough for a 99221. Some want 99499 with report, some want 99221-52 you would have to contact the individual carrier to find out.
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