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office then hospital

  1. #1
    Default office then hospital
    Medical Coding Books
    Hello out there,

    How would you code this: Pt seen in the office, and sent to the hospital where they are evaluated by one of the docs in our office. Can the office visit be billed as well as the hospital visit?

    Thanks much.

  2. #2
    Location
    Columbus, Ohio
    Posts
    14
    Default
    One needs to know what the outcome of the visit to the hospital was. Why were they sent to the hospital. A modifier could be used if the patient was hospitalised after the evaluation. Some more information would help if you want to decide which visit to bill.

  3. #3
    Default
    if the hospital encounter was a direct result from the ofc visit, then the answer to your question is NO. everything done in the ofc visit is bundled into the hospital encounter
    Quote Originally Posted by sbreaker View Post
    Hello out there,

    How would you code this: Pt seen in the office, and sent to the hospital where they are evaluated by one of the docs in our office. Can the office visit be billed as well as the hospital visit?

    Thanks much.
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  4. Question
    that was my understanding. E/M office followed by hospital admission...only charge 99223?? However when I read Medicare's critial care bulltein, made me confused. They said 99291 and the addtional service time does not meet the 99292.. use hospital E/M. Also per artical, E/M office and critical unit can be billed separately?? did I understand INCORRECTLY

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