Results 1 to 2 of 2

billing of Discharge from hospital or Swingbed

  1. Default billing of Discharge from hospital or Swingbed
    Medical Coding Books
    If a physician sees the patient on the day of discharge and discusses the plan of care with the patient and their family (face-to-face visit with patient) but does not do an actual physical examination of the patient can we still bill discharge E/M services (99238 or 99315). Please advise. Thanks.

  2. #2
    The CPT descriptors note, "The codes include, as appropriate, final examination of the patient, discussion of the hospital stay..." I interpret that statement to mean components that are necessary will be performed. For example, billing 99238 for a death pronouncement wouldn't require instructions for continuing care to all relevant caregivers or preparing prescriptions.

    The reality of the situation is healthcare providers perform more care than they document. During the discharge service your physician probably observed and assessed the patient's orientation, mentation, cognitive ability, skin color, respiratory effort and more but without the documentation, there is no way you would know it.

Similar Threads

  1. NP billing hospital discharge?
    By bmanus in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-15-2012, 10:26 AM
  2. billing hospital discharge
    By mrolf in forum E/M
    Replies: 1
    Last Post: 08-11-2010, 01:42 PM
  3. Billing for swingbed services
    By kcjdawsonvillega in forum Orthopaedics
    Replies: 0
    Last Post: 07-27-2010, 05:55 AM
  4. NP billing for Discharge Service In Hospital
    By jvalntine in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-05-2009, 04:55 PM
  5. Replies: 0
    Last Post: 05-07-2009, 09:40 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.