AAPC - August DL Sale: 50% OFF
Results 1 to 3 of 3

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

  1. #1
    Join Date
    Apr 2007
    Location
    Greater Atlanta
    Posts
    37

    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
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,127

    Default

    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 07:15 AM.

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,127

    Default

    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 12:09 PM. Reason: spelling

Similar Threads

  1. Medical Team Conference Help please
    By Lacy Hudgens in forum Auditing General Discussion
    Replies: 0
    Last Post: 05-08-2015, 01:32 PM
  2. Medical Team Conference & other E/M
    By michelle24 in forum E/M
    Replies: 0
    Last Post: 09-20-2013, 08:41 AM
  3. Coding Medical Team Conference
    By niebligj in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-05-2011, 12:54 PM
  4. medical team conference coding
    By duerheimergm in forum Orthopaedics
    Replies: 3
    Last Post: 10-07-2010, 02:53 PM
  5. Coding Inpt E&M And Subsequent On The Same Day???
    By Breezy in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-22-2010, 07:14 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.