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Thread: Initial hospital care

  1. #1

    Default Initial hospital care

    AAPC: Back to School

    I'm a little confused regarding initial hospital care - 99221 -99223 the definition begins with, per day. How can it be initial and per day. My situation stems from our locum Neurologist was consutled for a patient on 3/5. We billed a 99222,Q6. Five days later the attending ordered a re-consult for our regular Neurologist, who spent a significant amount of time evaluating the patient. She wants to bill a 99223 so that she can get the full amount of reimbursement for her work.

    I am torn due to the conflicting terms in the definition for the initial hospital care. Can anyone clarify this for me?

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    I always wondered the same thing. They use that term in the description for Observation as well. I was thinking maybe they are trying to say you can only use it once per day...but isnt that a given?

    I don't have an answer for that, but if the patient is under the same admission date, you cannot bill another "initial" service.

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