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Thread: Inpatient Initial services - 24 hr rule

  1. #1

    Default Inpatient Initial services - 24 hr rule

    AAPC: Back to School
    We have an understanding/comprehension that admitting physician should see the patient in 24 hours to report 99221-99223 series. Does this apply even for resident-teaching physician scenario also?

    If patient was admitted by the resident on November 6th at 8 PM and releases a H&P having complete 3/3 key components and attending sees the patient on November 7th at 8 AM & releases his addendum having only 2/3 key components; can we club both the notes and report a combined level of 9922X for attending on Nov 7th?

    Please advise. Also, please provide any national or state policies (CMS) on this, if available.
    Jagadish, CCS-P, CPC

  2. #2
    Join Date
    Apr 2007
    Nashville AAPC Chapter



    I can't find anything about a 24 hour rule on CMS.gov website.

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