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hospital coding

  1. #1
    Melbourne, Florida
    Default hospital coding
    Medical Coding Books
    my question is in regards to usage of modifiers AI and 25 Doctor W is the Internist (PCP)
    Is it ok to bill as the following:
    Doctor W saw the patient on 01/08/2011 cpt 99223 AI+25 and 99356 AI
    01/09/2011 cpt 99233 AI
    01/10/2011 cpt 99233 AI
    01/11/2011 cpt 99233 AI
    01/12/2011 cpt 99233 AI
    01/13/2011 cpt 99239 AI

    thank you for any feedback
    Denise Gilrane-Pillow, CPB

  2. Smile Ai & 25
    The use of the AI is to recognize the admitting physician (example 99223 AI)
    The follow up visits do not require the AI modifier 99233, 99231.

    When billing for a consultation I do not use the AI modifier as it is not required.

    Modifier 25 is needed only if you have another procedure in addition to the hospital
    Admit or visit

    I hope this helps,

  3. #3
    Melbourne, Florida
    Default hospital AI modifier
    Thank you that helps
    Denise Gilrane-Pillow, CPB

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