Hi, you never mentioned if your Dr. performed any surgery or procedure on the patient at all on the first admission. There are new rules for E/M from CMS effective 1/1/2010. Anyway if you are trying only to bill the E/M visit you need to make sure you use the new codes after 1/1/2010.Now, I believe because the diagnosis from the discharge is going to be different from the admission Dx within the same day I don't think you will need a modifier to bill for the second claim. However if your Dr. performed any type of surgery and discharged the patient and then admitted the patient for rasons unrelated to the original surgical procedure then use Modifier 24 for the admission E/M code (e.g. hip procedure on first admission, but then patient have a knee problem ).I hope this helps.
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