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Thread: Coding Inpt E&M And Medical Team Conference On The Same Day???

  1. #1
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    Default Coding Inpt E&M And Medical Team Conference On The Same Day???

    If you have a Medicare patient thats is currently in inpatient status. Can the physician bill a Medical Team Conference(99366, 99367) along with a E&M Subsequent Visit (99231,99232, or 99233) on the same day? If so does a modifier need to be added to the medical team conference or e&m level code?

    Please advise. Thanks
    BHouston,MBA,CPC,CPC-H,CPC-I,CCS-P
    Inpt & Outpt Coder

  2. #2
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    Team conferences have a "B" payment status indicator which indicates a bundled service.


    Also...

    30.6.16 - Case Management Services (Codes 99362 and 99371 - 99373)(Rev. 1, 10-01-03)
    B3-15512

    A. Team Conferences
    Team conferences (codes 99361-99362) may not be paid separately. Payment for these services is included in the payment for the services to which they relate.

    http://www.cms.gov/manuals/downloads/clm104c12.pdf
    Last edited by RebeccaWoodward*; 07-26-2010 at 08:15 AM.

  3. #3
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    I received an email on this thread. Just to clarify...

    CPT codes 99361-99362 were deleted and replaced with 99366-99368 effective 01/01/08 but remain bundled and not separately payable. The previous guidance provided does not reflect the current codes (99366-99368) but the guidelines remain. Also, On page 29 of the CPT code book (right hand bottom)...

    (99361, 99362 have been deleted. To report, see 99366-99368)
    Last edited by RebeccaWoodward*; 07-26-2010 at 01:09 PM. Reason: spelling

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