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Thread: Inpatient Consult & Critical Care

  1. #1
    Join Date
    Apr 2007

    Default Inpatient Consult & Critical Care

    AAPC: Back to School
    Trying to find somewhere if it is correct to bill for an inpatient consultation and later in the day have the same physician bill for a critical care code on the same patient.
    Last edited by jwenger13; 01-04-2010 at 02:33 PM.

  2. #2
    Join Date
    Apr 2007
    Hamden, CT

    Default Inpatient Consult & Critical Care

    Per Medicare's Change Request 5993, Sec. 5993.10 reads as follows: Contractor shall instruct physicians and qualified NPPs that when critical care services are performed on the same date after an earlier service was performed in the office/outpatient, inpatient hospital or hospital ED and critical care was not required at that time, both the critical care and other E/M services by the same physician are payable (Sec 30.6.12 H)

  3. #3
    Join Date
    Apr 2007


    Thanks for the assist, this answers my concern!!

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