Results 1 to 3 of 3

Inpatient vs Outpatient e/m code in a Radiation Oncology Center

  1. #1
    Question Inpatient vs Outpatient e/m code in a Radiation Oncology Center
    Medical Coding Books
    I work for a large corporation in the Northwest. We have a Radiation Oncology Center which is a 'stand alone' facility.

    We have patients who are admitted to the hospital and while in the hospital are referred to the Radiation Oncology Center to discuss treatment options. They do NOT discharge the patient and transport them to the Rad Onc Center for a consultation for treatment.

    Would the consultation code be an inpatient e/m consult code or outpatient? Would you document as an inpatient or outpatient?

    Thanks for your help,


  2. #2
    My set up is different and I don't have rad/onc but I can tell you what we do in similar situations.

    We bill what we do. If my doctors goes in the hospital and does a consult we bill an inpatient consult pos 21. If the patient comes to the office we bill an outpatient consult with pos 11. Doesn't matter if the patient is technically inpatient, we are using our staff and our resources and the service was provided in our outpatient office.

    I have one practice this happens in fairly regularly and the only time we have ever had a rejection was for the inpatient side. We saw the patient as an inpatient and billed as such but the insurance reviewed the case and took it down to an obs status so we had to change our coding after the fact in that case.

    Just my experience for what its worth,

    Laura, CPC, CEMC

  3. #3
    Default Inpatient vs Outpatient e/m code in a Radiation Oncology Center
    Thanks Laura...its always nice to get a 2nd opinion ;0)


Similar Threads

  1. radiation oncology help
    By VRcoder29 in forum Hematology/Oncology
    Replies: 7
    Last Post: 09-17-2013, 09:39 AM
  2. Radiation Oncology
    By in forum Hematology/Oncology
    Replies: 2
    Last Post: 06-12-2013, 12:02 PM
  3. Radiation Oncology
    By AuditU in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-26-2013, 11:48 AM
  4. Radiation Oncology
    By folktracy in forum Medicare Regulations
    Replies: 0
    Last Post: 05-01-2012, 11:26 AM
  5. Radiation Oncology
    By geugene in forum Employment General Discussion
    Replies: 0
    Last Post: 07-22-2010, 02:29 PM

Tags for this Thread

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.