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Pulmonology Coding Alert

You Be the Coder:

Review 99226 Subsequent Care Rules

Published on Thu Jul 18, 2019

Question: Our pulmonologist was called in to the hospital by the admitting doctor as a specialist to evaluate a patient in observation. We billed subsequent observation code 99226 for our doctor’s services, but Humana denied the claim, stating that the service we reported “exceeds the maximum number allowed per day” because another subsequent observation service was billed on the same [...]
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