CPT^® 99222, Under New or Established Patient

The Current Procedural Terminology (CPT^®) code 99222 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

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Summary

The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least 55 minutes of total time on the encounter on a single date.

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Can I bill an initial IP visit for 2 providers of same specialty within 60 days?

[QUOTE="mtsoldevila, post: 513270, member: 643514"] Provider A saw the patient on 5/20/22 and billed 99222. Patient was readmitted on 6/19 /2022, and another provider from the same group specialty di... [ Read More ]

Can I bill an initial IP visit for 2 providers of same specialty within 60 days?

Provider A saw the patient on 5/20/22 and billed 99222. Patient was readmitted on 6/19 /2022, and another provider from the same group specialty did the consultation this time. Can I billed an initia... [ Read More ]

GIP and IP billing

Hello, I'm new to the coding and billing world of Palliative Care. My question is how do I bill two initial consult codes (99221,99222 or 99223) if my provider saw the patient for an initial consult t... [ Read More ]

NP Hospital Billing for Consult Visit

Agree with advice above by [USER=29238]@Orthocoderpgu[/USER] Your office may call this a consult, but it is likely not a consult by coding definitions. If 99222 is the appropriate level for the servi... [ Read More ]

NP Hospital Billing for Consult Visit

[QUOTE="lgarcia96, post: 512130, member: 663018"] I added the initial admit code (99222) - we are aware we have to bill this in place of the consult code range (99251-99255). In our office we still ca... [ Read More ]

NP Hospital Billing for Consult Visit

[QUOTE="Orthocoderpgu, post: 512129, member: 29238"] Are you sure you are using the correct code set? Most insurance companies no longer consider consult codes for benefits any longer. Just because yo... [ Read More ]

NP Hospital Billing for Consult Visit

Hello, I work an Oncology clinic - our Doctor's go to the hospital to see patients with help from an NP. There is this recent dos that the NP did a consult visit alone. I believe I can not bill the co... [ Read More ]

Surgeon is listing 44960, 44970 and 99222

Op note says Lap Appy, also ruptured appendix w/abscess. Dx is K35.32 Acute perforated appendix 44960 is listed under Excision 44970 is listed under Laparoscopy I code from book, do not have an enco... [ Read More ]

99222 denied/bundled with 99232 - need clarification

My provider treated and billed 99222 on 06/29/21, and treated and billed (same patient) 99232 on 06/30/21. Both dates of service were submitted on the same claim. Initially, insurance paid both line... [ Read More ]

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