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E&m codes

  1. Default E&m codes
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    Hi my name is Mary,
    If our DR is an ophthalmology and he went to see a pt who is in observation in the hospital and they bill it as an outpatient; can we bill cpt 99223 with place of service 22?
    Thank You

  2. #2
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    Quote Originally Posted by MMORITZ View Post
    Hi my name is Mary,
    If our DR is an ophthalmology and he went to see a pt who is in observation in the hospital and they bill it as an outpatient; can we bill cpt 99223 with place of service 22?
    Thank You
    99223 is inpatient hospital care; POS 21. Initial observations are reported with 99218-99220.

  3. Default cpt 99218-99220 is not on fee slip for insurance company
    What do we do if this is now on the fee schedule with anthem?
    thanks mary

  4. #4
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    Mary,

    Not quite sure I understand. Are you saying that the carrier does not recognize these codes (99218-99220)?

  5. Default I called insurance co
    Yes but I called them and they will cover these observation codes.//Thank You for your time!!!
    Have a good day and weekend!!!

  6. #6
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    North Carolina
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    Happy to help

    You have a wonderful weekend, too.

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