AAPC - Back to school
Results 1 to 2 of 2

Thread: consultation coding with Medicare

  1. #1

    Default consultation coding with Medicare

    AAPC: Back to School
    Do I need the mod AI on a 99291 in the case that another physician is called in? In other words, my doc is the admitting physician, but the patient went from ER to ICU. I'm trying to code for a Critical Care and Infectious Disease doctor.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default I do not believe so

    I do not believe so. The AI modifier was specifically developed when Medicare decided they would pay for more than one "initial hospital visit" when submitted by different physicians during one hospital stay.

    The Critical Care codes were ALWAYS payable to different physicians (different specialties and/or different practices) during the same hospitalization - even on the same DOS.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. medicare outpatient consultation
    By mmcneil in forum E/M
    Replies: 2
    Last Post: 10-22-2012, 02:48 AM
  2. Consultation codes for Medicare. Please help!
    By Lhorn in forum Billing/Reimbursement
    Replies: 5
    Last Post: 01-26-2011, 08:19 AM
  3. Consultation codes and Medicare
    By carmicm in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-22-2010, 11:29 AM

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?


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.