CPT^® 99232, Under Subsequent Hospital Inpatient or Observation Care

The Current Procedural Terminology (CPT^®) code 99232 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 moderate level of medical decision making or the provider spends at least 35 minutes of total time on the encounter on a single date.

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Hospital Subsequent Level

Hi, I would appreciate an auditor's opinion on this note as to the level it supports for a subsequent hosp visit. My providers continually bill a higher level than expected. Wording in all caps are... [ Read More ]

ABH INPT PROF. VISITS

I received a rejections from Aetna Better Health for professional inpatient stay visits, i.e. 99223, 99232. They originally denied stating "Modifier used is incorrect or modifier missing." I did ori... [ Read More ]

Being told to combine all hospital visits on a single claim

You're correct - each time the patient is seen in the hospital would get its own service date - you would not use just the first date the patient was seen. The claim, or the 'encounter' in your syste... [ Read More ]

Being told to combine all hospital visits on a single claim

[QUOTE="amyjph, post: 511373, member: 172045"] No, you can report multiple days on the same claim (I am talking about pro fee 1500 claim form). For example, if I was coding/following a trauma patient ... [ Read More ]

Being told to combine all hospital visits on a single claim

No, you can report multiple days on the same claim (I am talking about pro fee 1500 claim form). For example, if I was coding/following a trauma patient for orthopedic providers I would put multiple d... [ Read More ]

2022 IP Hospital E/M Final Rule Shared/Split

I would love to provide you with an example to bill under the physician, but I don't have one. My MDs tend to write an additional line or two and sign off. My IP billing is done under the NPPs unles... [ Read More ]

99231 & 99232 billed by 2 different MD which one gets mod 25

inpatient hospital- have 2 inpatient e/m's by 2 different MD's w/ different specialties on the dame day one bills a 99231 and the other bills a 99232 which E/M get the modifier 25 ?... [ 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 ]

Intraoperative bladder injury inspection

Since the urologist did not do the repair but did a leak test, one may bill 51700 for the test instillation of fluid provided the urologist documents this as well as an intraoperative consultation usi... [ Read More ]

Transfer of Care

[QUOTE="mnorth2007, post: 502275, member: 705669"] A patient comes into the hospital and is admitted to the trauma service. After the first initial couple days, they are then transfered to IM and IM ... [ Read More ]

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