Results 1 to 2 of 2

admission codes

  1. #1
    Question admission codes
    Exam Training Packages
    I have a doctor that wants to bill a level 4 and 5 for admission (99225&99224)(not on the same admission this will be to separate admit) can someone tell me if there is such code for these two level or not? I look in CPT book and they have the levels written in red stating that they are out of numerical sequence can someone enlighten me on these codes?


    tdplair

  2. #2
    Location
    Bettendorf, Iowa
    Posts
    133
    Default Hope this helps
    New Added Codes for 2011

    Evaluation and Management – 3 New Codes

    99224 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.

    99225 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit

    99226 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.
    Ruth Long CPC,CHONC
    relong@rccqc.com

Similar Threads

  1. ER/Admission
    By caseycarter in forum Emergency Department
    Replies: 1
    Last Post: 02-08-2011, 11:54 AM
  2. ER vs Admission - HELP!!
    By marianstime in forum Emergency Department
    Replies: 1
    Last Post: 06-07-2010, 08:31 PM
  3. admission
    By Earnose in forum E/M
    Replies: 3
    Last Post: 09-28-2009, 03:32 PM
  4. ER admission
    By elizabethyoung in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 09-05-2009, 06:56 AM
  5. Documented "Admission" Done on Day After Hospital-Billed Admission
    By Belinda Frisch in forum Medicare Regulations
    Replies: 8
    Last Post: 05-04-2009, 08:52 AM

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?

Login

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.