AAPC - Back to school
Results 1 to 3 of 3

Thread: ER Consult, IP admission and discharge on same day

  1. #1

    Question ER Consult, IP admission and discharge on same day

    AAPC: Back to School
    Physician did a consult in the ER and then admitted the patient to the hospital. Patient was leaving AMA, so they gave discharge instructions. All of this was on the same date. Should I bill a consult and then an admission/discharge on same date? Suggestions?????

  2. #2
    Join Date
    Apr 2007


    I would not bill a consult and an admit/discharge on the same day. I would just bill the admit/discharge on the same day code for this. Per CPT when a patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (such as ED) all E/M services provided by that physician in conjunction with that admission are considered part pf the initial hospital care when performed on the same date as the admission. I would use the work the physician provided as the consult and the admission note to determine my admit/discharge code.
    Christina Lee Wagner, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    You might want to take a look at CPT codes 99234 - 99236 as they are for inpatient or observation admit and discharge on same date of service.

Similar Threads

  1. Admission and Discharge
    By eleciah83 in forum E/M
    Replies: 1
    Last Post: 04-29-2015, 02:58 PM
  2. Inpatient consult/discharge on same day
    By lcaskew1 in forum E/M
    Replies: 1
    Last Post: 12-09-2014, 10:44 PM
  3. Consult & Discharge in same day
    By AmandaW in forum E/M
    Replies: 2
    Last Post: 01-08-2013, 12:45 AM
  4. Discharge & Re-Admission Same Day - Unrelated
    By tdewitt in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-25-2010, 07:26 AM
  5. Outpatient consult same day as admission
    By Karolina in forum E/M
    Replies: 4
    Last Post: 09-03-2009, 05:56 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?


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.