Results 1 to 3 of 3

help psyche consult in ed

  1. #1
    Default help psyche consult in ed
    Medical Coding Books
    If psychiatry is consulted in the ER and then that same day or next day the patient is admitted to mental health ward...should the psyche doc charge an admit(ex.99221) consult(99241 or 99281) or the psyche eval code 90801...


  2. Wink
    If your admit is on a diff. day then, you can bill the consult. & the Admit Depending on ins. you would bill your consult code.& admit code.If the admit is on the same day as your consult then you only bill the admit. YOU CANNOT BILL BOTH. See page 8 of the 2011 cpt-coding expert under Initial Hospital Care about the 3rd paragraph on the right it states: When pt is admitted to hosp in the course of an encounter in another site of serv.(ED;observation; nursing facility etc.) all evaluation and management serv. provided in conjunction w/that admission are considered to be part of the initial hospital care when performed on the same day.... Hope this helps.:-)

  3. #3
    Jefferson City, MO
    Default Thank you. Let's see if I can muddle thing up a bit more....
    Thank you. Let's see if I can muddle thing up a bit more....

    Patient is seen in ER and a psychiatric consult is requested. An APRN from the psychiatric department then sees the patient and bills a 90801. Later that same day, the patient is admitted to the psychiatric department.

    1. Since the request for consult was not directly to this APRN, can a service be billed?

    2. Should the 90801 be billed for acute onsets?

    3. If the patient is admitted that day to the psychiatric department, can the 90801 AND the admit code both be billed?

Similar Threads

  1. E/M OBV Consult converted to Inpt Consult
    By AmandaHartman in forum E/M
    Replies: 1
    Last Post: 06-13-2014, 10:36 AM
  2. Billing OV Consult vs Hospital Consult
    By crowemd in forum Auditing General Discussion
    Replies: 1
    Last Post: 02-20-2012, 03:02 PM
  3. help psyche consult in ed
    By perkins05 in forum E/M
    Replies: 2
    Last Post: 12-22-2010, 11:16 AM
  4. help psyche consult in ed
    By perkins05 in forum Emergency Department
    Replies: 0
    Last Post: 12-17-2010, 11:53 AM
  5. Replies: 1
    Last Post: 01-24-2008, 02:16 PM

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?


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.