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Help coding scenario

  1. #1
    Default Help coding scenario
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    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
    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
    That's I thought. What code do you think is billable?


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