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Code for emergent restraint IP encounter

  1. #1
    Question Code for emergent restraint IP encounter
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    Patient has been inhouse for a few days. Attending physician sees patient during the day for follow-up visit. Afterhours the patient becomes combative. The on-call physician is called in for restraint order. I looked at the note and was thinking to code as 99232-25 since the attending already saw the patient during the day (physicians are in same group billing as 1) but then thought 90899 (unlisted psychiatric service or procedure) might be better.
    What do you think it should code as?

    Donna E. Young, CPC

  2. #2
    Louisville, KY
    Writing orders is considered part of subsequent hospital care. Since the patient was seen that same day (by another provider in the group), all material services furnished for that DOS are bundled into one E/M code. Remember that in the hospital environment, time spent in coordination of care (floor/unit time) is considered part of the E/M; in other words, face-to-face encounters with the patient only represent part of time and work spent in managing patients in acute care.

  3. #3
    Great, as always, thanks Kevin!
    Donna E. Young, CPC

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