Page 1 of 2 12 LastLast
Results 1 to 10 of 11

coding inpatient consults

  1. Default coding inpatient consults
    Medical Coding Books
    What is the correct 2010 cpt codes to use for inpatient consult if you are the
    attending physician?

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    You cannot charge a consult if you are the attending physician. You cannot consult yourself.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    What cpt code can we charge when a specialist admitted a patient of ours
    and consulted us to see patient in the hospital?

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    It is not a consult if you are seeing your patient for the known issues. You will use subsequent inpatient encounter codes.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    We are the primary dr and called as consult can you use code 99222
    for initial visit with the AI modifer?

  6. #6
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I am very confused, the primary doctor cannot be called as a consultant. Do you mean you are the patien's primary care physician or are you the primary physician of record for the admission? these are two different things.

    Debra A. Mitchell, MSPH, CPC-H

  7. Default
    We are the primary care physician for the pt.

  8. #8
    Default
    If you're the admitting physician for a medicare patient, you continue to use initial hospital care codes 99221-99223 but now must append modifier AI

    99221-99223 have always been called "admit codes" because traditionally they were only used by the admitting physician.now we just have to forget about the term "admit codes" because more than one physician is now using these codes sets for two different services. (admission vs. consult)

    reinforce "initial hospital care" those codes have always been called initial hospital care and it means just that -- initial care, first encounter -- both admitting physicians and consulting physicians are using these codes. physicians of different specialties called in for consults, also use 99221-99223. so now instead of just the admitting physician utilizing these codes, more than one physician are using them.

    just remember modifier AI for the admitting physician -- if this modifier isn't appended correctly, payment for any physician may be affected.

  9. #9
    Location
    Columbia, MO
    Posts
    12,531
    Default
    If you are the patient's primary care physician and the principle physician for the admission then it is not an admit nor a consult your visits are all subseqent inpatient.

    Debra A. Mitchell, MSPH, CPC-H

  10. #10
    Default
    CMS does not accept the consult codes but some of your other carriers may.
    We checked with our top 10 carriers and found out which ones would accept the consult codes and which of those that were not going too.
    This was most helpful.

    Judy N. LPN, CPC, CCS-P

Page 1 of 2 12 LastLast

Similar Threads

  1. inpatient consults
    By Triesen1 in forum Family Practice
    Replies: 1
    Last Post: 07-21-2015, 11:31 AM
  2. Inpatient Consults
    By leastham in forum Orthopaedics
    Replies: 1
    Last Post: 10-30-2011, 05:04 PM
  3. Inpatient consults
    By lbragg in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-29-2010, 03:42 PM
  4. inpatient consults
    By Tina Thompson in forum Behavioral Health
    Replies: 6
    Last Post: 01-21-2010, 02:03 PM
  5. Inpatient Consults
    By efrohna in forum E/M
    Replies: 2
    Last Post: 01-30-2009, 05:20 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.