AAPC - Back to school
Results 1 to 3 of 3

Thread: Outpatient billing

  1. #1

    Question Outpatient billing

    AAPC: Back to School
    Our cardiologist sometimes sees patients in the cath lab. they are not yet admitted to the hospital but rather in the holding area. The surgeon asks our doctor to consult with the patient, but because of the new medicare consult rules, we cannot bill a consult code. If the patient is still in outpatient status, what code does she bill for her consult. Also, the new EMR rules state the consulting doctor must do an HPI so she wants to bill accordingly. Since the patient is not admitted, I don't believe she can bill 99223, should she bill for observation? This is a medicare patient. Thanks.

  2. #2
    Join Date
    Apr 2007
    Green Bay


    When the provider is consulting on a patient who is outpatient status you would use the new or established codes 99201-99205, 99211-99215 depending on if the patient is established or not.

    Jessica CPC, CCC

  3. #3

    Smile outpatient billing

    ok, thank you for your help.

Similar Threads

  1. Hospital outpatient billing
    By trebelo in forum Billing/Reimbursement
    Replies: 4
    Last Post: 11-29-2011, 08:30 AM
  2. Outpatient Billing
    By higej2 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-15-2010, 10:14 AM
  3. Outpatient Billing
    By higej2 in forum General Discussion
    Replies: 1
    Last Post: 11-15-2010, 09:08 AM
  4. E/M billing for outpatient chemo
    By uhlerclarem in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-29-2008, 12:20 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.