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  1. #1
    Default Dialysis
    Medical Coding Books
    If a dialysis patient who has never been seen in the office and only at the dialysis center goes into the hospital and the Nephrologist is called into the hospital to see the patient and supervise his dialysis services does the doctor bill the initial hospital visit or a subsequent visit? Thank You for your help

  2. Default
    Do you mean for Inpatient or OutPt/OBSV? There is no New or Est patient rules for inpatient encounters.

    Was he called in for a Consult?

    If the patient is Medicare (another physician admitted), then your physician codes 99221-99223 for his inital inpatient evaluation. Medicare doesn't recognize consult codes

    If the patient is not Medicare (or a payer who follows the Mcare consult rule), then your physician codes either as a consult with 99251-99255 or as a subsequent visit with 99231-99233

    Does this answer your question?

  3. #3
    Yes, Thank You

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