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Thread: Transfer of Care

  1. #1

    Default Transfer of Care

    AAPC: Back to School
    I have a situation that involves transfer of care and was just wondering how someone else would see this...Medicare pt

    Dr. X is at one hospital and wants to transfer care to Dr. Y at another hospital for a procedure and Dr. X and Dr. Y are billed under the same practice. Dr. X wants to charge "discharge" (99238 - pt is inpt) and Dr. Y is charging 99221 for initial inpt. If I bill for the discharge this will deny as dup??


  2. #2


    If the DOS is same, we cannot bill both 9922x and 99238. Only 9922x should be billed. If billed on two separate dates of service both can be billed.
    Jagadish, CCS-P, CPC

  3. #3

    Default Transfer of Care

    Thanks for the response. That's what I was thinking

  4. #4


    Face-to-face professional service is the key here. Should be billed as an established patient to be compliant.
    Jagadish, CCS-P, CPC

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