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Thread: HELP! Question regarding 99238

  1. #1
    Join Date
    Apr 2007

    Default HELP! Question regarding 99238

    AAPC: Back to School
    I realize that 99238 is the lower E/M service billed for a hospital discharge. I am confused on the documentation requirements. It states that code includes discussion of the hospital stay. Is it appropriate for a physician to just have a line down the physical exam of a newborn and call that a discharge? They do not include any kind of d/c summary or status of the baby such as feeding well, voiding and stooling, etc.

    Thank you so much if you could please respond.

  2. #2


    No. There should be an appropriate documentation of discharge summary to bill the service.
    Jagadish, CCS-P, CPC

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