Results 1 to 5 of 5

Can 99291 and 99238 bill together?

  1. Default Can 99291 and 99238 bill together?
    Medical Coding Books
    If the Dr. in an inpatient setting performs critical care in the morning, then patient is discharged to another hospital later that day, can that Dr. bill for both? The critical care and discharge on the same day?

    Amanda, CPC
    Urology coder

  2. Default
    2 99xxx services on the same DOS should always lead to consideration of documentation support above and beyond the requirements for each individual code submission to append modifier -25, but I could not find a CCI or ME edit in the CMS physicians list that prohibits the submission of both for the same DOS.

    A Burns RN BSN, CPC, CPC-H, CPMA
    ClaimAudit LLC

  3. Default
    Thank you much! Me neither.

    Amanda, CPC
    Urology coder

  4. #4
    Olympic Penninsula, WA
    I'm sure this has already been tackled, but the CPT book plainly states that the 99238-99239 codes "are to be utilized to report all services provided to a patient on the date of discharge..."
    I don't see a way around it. I would have gone with the 99239 (assuming the MD documented time spent doing the critical care in the AM).

    Is there another guideline I'm overlooking? I'm struggling w/ this issue as well.

  5. Default
    One provider can assign one EM code per day.if critical care done by different provider then we can bill both.otherwise code only 99238.
    Dr Archana

Similar Threads

  1. 99291 w/99238
    By pinnaclephyserv in forum Emergency Department
    Replies: 3
    Last Post: 12-31-2014, 03:22 PM
  2. 99238
    By crabby1 in forum E/M
    Replies: 1
    Last Post: 11-25-2013, 08:12 AM
  3. Can 99291 and 99238 bill togeather ?
    By Naveen Rachagolla in forum E/M
    Replies: 2
    Last Post: 09-20-2012, 06:23 AM
  4. 99238
    By evapaxton in forum E/M
    Replies: 1
    Last Post: 05-07-2012, 12:35 PM
  5. How should I bill a 99255 and 99291 on same dos - non-Medicare pt, same billing provi
    By billylewis in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-08-2011, 07:33 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?


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.