CPT^® 99231, Under Subsequent Hospital Inpatient or Observation Care

The Current Procedural Terminology (CPT^®) code 99231 as maintained by American Medical Association, is a medical procedural code under the range - Subsequent Hospital Inpatient or Observation Care.

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Summary

The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical decision making or the provider spends at least 25 minutes of total time on the encounter on a single date.

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Initial Hospital Care codes and Admission to Hospital dates?

If you did an inpatient consult, but the carrier does not accept consult codes, the Medicare guideline specify you may use initial inpatient 99221-99223. They also state if you do not meet 99221 (sinc... [ Read More ]

Chief complaint documentation

[QUOTE="stacymac51488, post: 514411, member: 303279"] Thank you for your reply. Another thing that is being said by the education and compliance department is that the CC will come from the H&P or the... [ Read More ]

Chief complaint documentation

[QUOTE="thomas7331, post: 514408, member: 5404"] The CC is required, however it doesn't have to be labeled specifically as a 'chief complaint' in the note and doesn't even have to be an actual 'compla... [ Read More ]

Inpatient Substance Abuse

[QUOTE="TThivierge, post: 513315, member: 216725"] Hi Laylaykali, It seems you are doing this correctly with CPT 90791 and inpt psych codes 99231 -99233, but no idea of HCPCS to use in that setting. U... [ Read More ]

Inpatient Substance Abuse

Hi Laylaykali, It seems you are doing this correctly with CPT 90791 and inpt psych codes 99231 -99233, but no idea of HCPCS to use in that setting. Understand MD, PA, DO psychiatrist and psychologist ... [ Read More ]

Inpatient Substance Abuse

I was just hired on as a CPC for an Inpatient Substance abuse treatment facility with locations in 4 different states. They also do outpatient treatment for adolescents. I'm trying to code for they're... [ Read More ]

Diagnosis not documented on DOS diagnosis initial encounter inpatient m62.82 n17.9 subsequent care

We are doing profee billing for hospital care services. [LIST] [*]For the initial hospital care (99221-99223) visit documentation states that patient came into the hospital and was found to have an ... [ Read More ]

Inpatient E & M

[QUOTE="csperoni, post: 510908, member: 164618"] Actually, if you did a consult, but the carrier does not accept consult codes, the Medicare guideline state you may use initial inpatient 99221-99223. ... [ Read More ]

Subsequent Hospital Care in a RPTC

The CPT codes 99231-99233 have certain requirements you must meet or time, but when auditing a provider who saw 17 patients in one day can you use time as a measure of whether the service could have b... [ Read More ]

Modifier 25 with 99223 and 99497

Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]

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