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Thread: Inpatient Consults

  1. #1
    Join Date
    Apr 2007
    bloomington il

    Cool Inpatient Consults

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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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