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Thread: Question regarding new consult reporting with -AI

  1. #1
    Join Date
    Apr 2007

    Default Question regarding new consult reporting with -AI

    AAPC: Back to School
    I do coding for a hospitalist group, and we do a lot of admissions. Occasionally, the patient is immediately admitted to critical care on the first day of stay, and we are reporting critical care codes. Do we or do we not report the -AI modifier? My guess is no, because the whole point of the -AI modifier is to distinguish between an admission and a consult.
    Please let me know what you think.

    Thank you!
    Tiffany Fischer, CPC, CEMC

  2. #2
    Join Date
    Apr 2007
    Hartford, CT


    My understanding is that the AI modifier is only added to 99221, 99222, 99223.

    Doreen, CPC

  3. #3
    Join Date
    Apr 2007
    Albany, Oregon

    Default AI modifier

    According to what I've been reading, the AI modifier was created to delineate the "pricipal physician of record". I've not found anything to indicate that the modifier can only be used w/ e/m codes 99221-99223.


    Pat Kidd, CPC
    Albany, OR

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