Results 1 to 4 of 4

E/M Code regarding initial hospital care

  1. #1
    Default E/M Code regarding initial hospital care
    Exam Training Packages
    i have quick question , if Dr document time 20 min in critical care unit and if i want to use E/M code can i use 99221 (even though it say 30 min spend in bed side). i appreciate for your help. thanks

  2. #2
    Seattle First Hill
    It doesn't sound like it. In order to bill a 99221, all 3 components must be met- detailed or comprehensive history, exam, & MDM that is straightforward or of low complexity. The times listed are averages.

    To bill based on time, it must be documented that greater than 50% of the visit was spent in counseling &/or coordination of care.

    Hope this helps,
    Kirsten, CPC

  3. #3
    Thank you so much for responding i will try to see if medicare web site if any code correspond to this situation. thanks again.

  4. #4
    Seattle First Hill
    I think I may have misunderstood your question.

    Yes, you can bill a 99221 IF the documentation supports that code. The times listed in CPT are averages and the code should not be based on that alone UNLESS the doctor has a statement that he spent XX amount of minutes and over 50% of that was spent in counseling and/or coordination of care. Hope that makes sense!

    ~Kirsten, CPC

Similar Threads

  1. Replies: 3
    Last Post: 07-09-2015, 06:40 AM
  2. Replies: 3
    Last Post: 09-26-2012, 08:21 AM
  3. Subsequent vs. Initial Care Code for Initial Contact with patient
    By heatherwinters in forum Medicare Regulations
    Replies: 8
    Last Post: 01-21-2010, 07:59 AM
  4. Replies: 11
    Last Post: 03-10-2009, 06:20 AM
  5. Replies: 2
    Last Post: 01-21-2009, 06:39 PM

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.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.