I think it depends on the documentation and the kind of visit. We have a physician who goes to Inpatient Rehab facility and does a hand written initial consultation note. From that note, it does not meet the criteria to bill 99221 so we bill 99499 when billing Medicare, which they process. I think you would want to talk to the physician or compare to a superbill which would have the level he believes it is to make sure he is aware of the requirements for the certain E/M service he is providing.
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