The physician who actually performed the discharge (wrote the discharge orders, final exam, prescriptions, etc) bills. 99238 and 99239 are based on the discharge day management time (30 minutes or >30 min). If the MD dictating the discharge summary did not go to the floor and perfrom these tasks (his name will be on the orders for that day) he cannot bill under his name because he spent no time on the floor.
Anna Barnes CPC, CEMC
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