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Urology Coding Alert

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Think You Understand the New Consult Rules? Find Out

Published on Sat Jan 16, 2010

Check your 2010 consultation coding savvy. Find out if you're set to properly code your urologist's consultation services this year or if you need to brush up on the regulations governing your Medical coding in 2010. Check your answers to the three quiz questions on page 11 against this answer key. Answer 1: Check With Your MAC for Guidance When your urologist sees a Medicare inpatient and would have used an inpatient consultation code, this year you should report an initial hospital care code (99221- 99223). If the E/M service and documentation do not meet the requirements of an initial inpatient hospital care code, however, your coding will now depend on your Medicare Administrative Contractor's (MAC) or carrier's policy. Problem: The lowest initial hospital care code (99221) requires a detailed history and detailed exam. When your urologist's documentation does not reach this level, there is a question as [...]
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