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Admit / Discharge Same Date of Service

  1. #1
    Default Admit / Discharge Same Date of Service
    Medical Coding Books
    I would like to know if anyone else has ever come across this scenario - and been paid for it!

    We discharge a patient from medical service and bill a 99238 with mod-25. Then we re-admit that patient on the same day to the rehab unit and bill an admit code with a different place of service.

    We have several payors that will not pay us for the d/c.

    Can anyone help me? I would appreciate it!!

  2. #2
    Greeley, Colorado
    When you say rehab, are you referring to a SNF? Are you using the Initial Nursing Facility Care codes (99304 - 99306)? It's been a long time since I've been involved in this scenario but that's what we did at a previous office I worked at, and as far as I know there were no problems. Then again, that was a while back...

  3. #3
    NCF Gainesville
    You are allowed to bill a d/c from a hospital and an admit to a SNF on the same day. As far as to rehab, not really sure because I know we bill to some rehab centers that are still considered inpatent hospital and not SNF. Depends what the facility is considered I guess.
    Jeni Smith, CPC, CPMA

  4. #4
    No - its not a SNF - It is only a rehab floor in the hospital for which one of my docs does admissions - they are being d/c from the regular floor to rehab and we aren't getting paid for both services even with a modifier.......

    Just wanted to know if anyone experienced the same thing! Thanks for your help!

  5. #5
    Thank you for your response. Good Luck with your test!!

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