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In-Patient Visits

  1. Smile In-Patient Visits
    Medical Coding Books
    How should an in-patient visit be billed for a Mediare patient, when a specialist is asked to see patient for the first time and they are not the admitting doc?

  2. #2
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    HUNTINGTON, WV
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    The specialist would bill his/her initial visit of 99221-99223 depending on the documentation, with the admitting provider billing the same 99221-99223 with the AI modifier.

    hope this helps!
    JENNIFER WESTFALL, RHIT, CPC, CGSC

  3. #3
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    North Carolina
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    Quote Originally Posted by cotton View Post
    How should an in-patient visit be billed for a Mediare patient, when a specialist is asked to see patient for the first time and they are not the admitting doc?
    Depending on documentation, 99221-99223

    All physicians who provide an initial visit to a patient during hospital care shall report an initial hospital care code (99221-99223).

    http://www.cms.gov/manuals/downloads/clm104c12.pdf

    Page 51.

    Section 30.6.10 elaborates on this further...

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