Cardiology Coding Alert
Don't Bill Observation/Procedure on Same Day
Texas Subscriber
Answer: The doctor is the person who decides when the patient needs to be admitted to inpatient status. If the doctor gave orders for the patient to be directly admitted to inpatient status, the hospital should retroactively say that the patient was in observation status. You may need to address this with your hospital. The genesis for this concern may be the fact that many patients require preauthorization for inpatient services.
You should not bill an admission (codes 99221-99223) unless your cardiologist actually saw the patient on that day. If your doctor gave orders for his patient to be admitted on the 18th but never saw him in that setting until the 19th, you should report the initial hospital care codes (99221-99223) on the 19th.
Cardiology Coding Alert
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Differentiate Between 93641/93642
Question: What is the difference between 93641 and 93642?
Michigan Subscriber
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Venogram Is Not Separate From Insertion
Question: Can I bill a venogram with a CRT-D?
Idaho Subscriber
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