Results 1 to 2 of 2

OP to IP or Vice Versa

  1. Default OP to IP or Vice Versa
    Medical Coding Books
    If pt is admitted OP on Monday, remains OP on Tuesday, and is admitted IP on Wednesday, I understand to bill on Monday 99218-99220, Tuesday 99212-99215 and Wednesday 99221-99223. But as we know the doctor will not dictate a complete H&P on Wednesday just because patient admit status changed. Most docs only document a brief daily update on day three. So, since we cannot bill a hospital follow up visit on Wednesday such as 99231-99233, that pretty much just leaves an unlisted code 99499. Is the patient admit status to be looked at on a daily basis regardless of what time of day the status changed. For instance, if the Doc saw the patient on Wednesday when still OP status at noon but patient changed to IP status at 2 p.m.? Or is the pt for billing purposes considered IP all day on Wednesday regardless of the time that admit status took place??

  2. #2
    Pt would be considered inpatient for that entire day no matter what time the change is at! The hospital will bill that day as an inpatient!
    Herbie W Lorona Jr., CPC, CPC-H

Similar Threads

  1. Program to crosswalk ICD10 to ICD9 and vis versa
    By Nikki Shepard in forum ICD-10
    Replies: 2
    Last Post: 05-16-2013, 09:06 AM
  2. Vice President of Professional Services
    By lauried in forum Job Postings
    Replies: 0
    Last Post: 10-13-2010, 11:58 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.