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new coder

  1. #1
    Default can I code for both doctors - same dos?
    Medical Coding Books
    If 2 doctors (Hospitalist) from same group see pt on same day -- one for acute urinary retention and insertion of catheter during the night (99231, 51702, 788.21) and the other for discharge (99238) later that day, can coding be done for both of them?
    Last edited by audreymgrh13; 05-25-2010 at 11:44 AM.

  2. Default
    Guideline is: same group, same specialty, all E&M services that day are rolled into one E&M code and billed as one.

    Your cath 51702 has a "same day" global period so whichever E&M you end up coding, be sure to add mod -25

    I don't know what your documentation shows, but I would probably lean towards coding 99238 (maybe 99239 if supported). If 99231/2 was coded, it could lead to questions if the 99231/2 is inclusive as routine pre-procedure work. Coding the discharge eliminates any questions the payer could raise to support a denial

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