Results 1 to 4 of 4

How would you code scenario?

  1. #1
    Default How would you code scenario?
    Medical Coding Books
    Patient was seen in office and was hydrated –cpt 99215 and 96360 and 96361 then patient was admitted to hospital same day and Dr went to admit her with another evaluation.

  2. #2
    Milwaukee WI
    Default One E/M - Hospital admit
    You only code one E/M on one date of service, and CPT tells us specifically that you should code the Initial Hospital Visit (9922x). Use all the documentation, including the office visit, to determine your level of service.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default Thanks
    Thanks for confirming - suddenly the provider comes up with a question...which you have always known, raises a doubt in your mind, you feel it's necessary to take a second opinion.

  4. #4
    Central Pittsburgh
    Exactly right-the initial inpatient service should be the one coded. However, I would ask the question, did the MD see the patient upon admission in the hospital?

    Only 1 E/M service can be billed, however, if he didn't see the patient in the hospital then the intial service code would not be billable.

    I totally understand when you start to doubt yourself. I do that a few times a day sometimes.

    Suzan Berman CPC, CEMC, CEDC

Similar Threads

  1. Code the scenario: Capture the primary diagnosis code only
    By Ally718 in forum Diagnosis Coding
    Replies: 1
    Last Post: 09-22-2015, 08:41 AM
  2. How do I code this scenario?
    By rhaney1033 in forum AAPC Coding Challenge
    Replies: 0
    Last Post: 03-26-2015, 09:30 AM
  3. E/M Code Scenario
    By Partha in forum E/M
    Replies: 2
    Last Post: 02-23-2010, 11:27 AM
  4. Code this scenario please:
    By Partha in forum E/M
    Replies: 6
    Last Post: 07-23-2009, 11:20 AM
  5. how would you code this scenario????
    By elenax in forum Plastic Surgery
    Replies: 2
    Last Post: 09-15-2008, 04:04 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?


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.