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Thread: Help coding scenario

  1. #1
    Join Date
    Apr 2007

    Default Help coding scenario

    AAPC: Back to School
    Pt arrives in ER with complaint of chest pain. After workup by ER physician Cardiology is called to see pt at which point cardiologist admits patient. Pt complained of chest pain 4 days duration. History of HTN and cardiomyopathy. Cardiologist performs a LH catherization.
    The physician has billed an initial hospital care code 99223 and CPT 93510.
    There is no exam or review of systems documented. Are these codes appropriate?


  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Without an exam and ROS documented I don't see how the cardiologist can justify 99223 - or any of the admit codes.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007


    That's I thought. What code do you think is billable?


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