Inpatient or Observation Consultations CPT® Code range 99252- 99255
The Current Procedural Terminology (CPT) code range for Inpatient or Observation Consultations 99252-99255 is a medical code set maintained by the American Medical Association.
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I disagree. Whether or not 99221-99223 is appropriate can depend on the carrier.
When CMS eliminated consult codes, their official advice is the admitting bills 99221-99223 with -AI. Physicians who ... [ Read More ]
I am confused on what to do for inpatient consult codes for the first consultation the doctor has with a patient. Some articles say to use 99221-99223 and then some say not to use that but 99251-99255... [ Read More ]
Hi,
Patient was admitted on 15/6/2019 and discharge on 16/6/2019 and patient consulted one physician in the morning (99251-99255) and in the evening he was discharge from the hospital(99238-99239). c... [ Read More ]
Hello Fellow Coders
I need some assistance with cross walking CPT codes. It was suggested that these codes below are ok to crosswalk one for one. However, I am not an expert in E&M coding. It was m... [ Read More ]
Outpatient consults don't have crosswalk - they just have to be billed as outpatient office visits, new or established, or ER visits, depending on the case.
Inpatient consults crosswalk as follows... [ Read More ]
I would check and make sure that your state allows a chiropractor to see patients in an inpatient setting. This may not be in the chiropractor's scope of practice. I would then check with each insur... [ Read More ]
For the experienced billers, can you let me know what the difference in prices are for the new office consult codes 99241-99245 vs new office visit 99201-99205 along initial hospital care 99221-99223 ... [ Read More ]
[b]Consults[/b]
Karen, I hope the following helps.
You are right about the physician cannot treat the patient in any way, including medications. Otherwise, it is no longer a consult. However, they... [ Read More ]
The below statement is from Supercoder, and it is consistent with my current understanding of the AMA suggestion of use of 99221-99223. That this code range is reported by the admitting physician and ... [ Read More ]
[b]Pub 100-04, chapter 12, section 30.6.9.1[/b]
Here is the statement from the above refereneced section - payment for initial hospital care services:
[B]Subsequent hospital care CPT codes 99231 and... [ Read More ]