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Inpatient Consults

  1. #1
    bloomington il
    Cool Inpatient Consults
    Medical Coding Books
    My Dr was asked to do a inpatient consult with a patient for a shoulder injury. The patient was originally admitted for kidney problems. The patient has Medicare. What codes are we using for Consults in a hospital setting?

  2. #2
    Columbia, MO
    You use the initial inpatient codes with no modifier. If the admitting physician did not use the AI modifier for their initial visit then your claim will probably deny. There is no way on you part you can keep this from happening. So bill it with the appropriated 99221-99223 code and be prepared to appeal it.

    Debra A. Mitchell, MSPH, CPC-H

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