Results 1 to 3 of 3

41115 with 99238

  1. #1
    Cool 41115 with 99238
    Exam Training Packages
    If my Peds doc is doing a 41115 on a new born and then a d/c within the 10 day global, would a 79 modifier be appropriate on the 99238 when patient is discharged home?

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by Deb2009 View Post
    If my Peds doc is doing a 41115 on a new born and then a d/c within the 10 day global, would a 79 modifier be appropriate on the 99238 when patient is discharged home?
    Depends on what else is billed, is this a newborn that has never left the hospital? Usually for surgical procedures the discharge is included in the procedure, but if it was incidental to a different type of hospitalization then that may be different. In any case, the 79 modifier is not allowed with 99238, but a 25 or 24 modifier is allowed.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    Quote Originally Posted by ajs View Post
    Depends on what else is billed, is this a newborn that has never left the hospital? Usually for surgical procedures the discharge is included in the procedure, but if it was incidental to a different type of hospitalization then that may be different. In any case, the 79 modifier is not allowed with 99238, but a 25 or 24 modifier is allowed.
    Yes, this is a newborn that has not left the hospital. So the procedure would be inclusive of the discharge? Thank you. Your help is much appreciated. Peds is an area I am not familiar with.

Similar Threads

  1. 99291 w/99238
    By pinnaclephyserv in forum Emergency Department
    Replies: 3
    Last Post: 12-31-2014, 03:22 PM
  2. 99238
    By crabby1 in forum E/M
    Replies: 1
    Last Post: 11-25-2013, 08:12 AM
  3. 99238
    By evapaxton in forum E/M
    Replies: 1
    Last Post: 05-07-2012, 01:35 PM
  4. Replies: 4
    Last Post: 01-25-2012, 08:18 PM
  5. cpt code 41115 and 41010
    By codedog in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 07-02-2009, 02:36 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?

Login

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.