The scenario, as described seems odd to me. I would need to see all the notes before giving an opinion as to what the correct coding would be. Not at all sure your codes are correct.
Still, here are two thoughts:
CPT guidelines tell us (2011 Professional edition, pg 14 in the AMA published book) clearly states:
When the patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (e.g. hospital emergency department ....) all evaluation and management services provided by that physcian in conjunction with that admission are considered part of the initial hospital care ... (emphasis added by FTB)
CPT 21501 has a 90-day global ... so you need a -57 modifier (decision for surgery), and NO you can not bill a discharge in any case.
Hope that helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join