Neurology & Pain Management Coding Alert

Reader Question:

Report Initial Inpatient Consults for Nursing Homes

Question: Which codes should I use when the physician is called to the nursing home for a consultation?

New York Subscriber

Answer: You should choose the appropriate code from the 99251-99255 range (Initial inpatient consultation), depending on the level of service supported by the physician's documentation. The CPT definition of an initial inpatient consultation states, " The following codes are used to report physician consultation provided to hospital inpatients, residents of nursing facilities or patients in a partial hospital setting" [emphasis added].

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All