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Admitted to hospital from office

  1. #1
    Default Admitted to hospital from office
    Medical Coding Books
    I am fairly new with the coding in this type of practice. I have come across where a patient was seen in the office. The doctor performed a couple of procedures. This is patient is new.

    After procedures were preformed, doctor admitted patient to the hospital directly from the office.

    I am being told to bill just the procedures without the consult, then create a new ticket for the hospital admission(99223). On the other hand I am being told to charge the consult with the procedures and not to bill the hospital admission. Which way is right?

    Thank you
    Beth Sanders, CPC

  2. #2
    Smile
    Quote Originally Posted by bethsanders View Post
    I am fairly new with the coding in this type of practice. I have come across where a patient was seen in the office. The doctor performed a couple of procedures. This is patient is new.

    After procedures were preformed, doctor admitted patient to the hospital directly from the office.

    I am being told to bill just the procedures without the consult, then create a new ticket for the hospital admission(99223). On the other hand I am being told to charge the consult with the procedures and not to bill the hospital admission. Which way is right?

    Thank you
    Beth Sanders, CPC

    Bill the procedures w/o visit code and then bill for the hospital admission.
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  3. #3
    Default
    Thank you very much for your reply. Have a great day!!!

  4. #4
    Location
    Evansville Indiana
    Posts
    451
    Default admit
    It also depends on whether the physician saw the patient in the hospital that day, if not you cannot charge the 99221-99223. You would charge it the next day on initial visit. The other variable is what procedures were performed and if there is a global period involved.

    LeeAnn

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