CPT^® 99233, Under Subsequent Hospital Inpatient or Observation Care

The Current Procedural Terminology (CPT^®) code 99233 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 high level of medical decision making or the provider spends at least 50 minutes of total time on the encounter on a single date.

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Hospital Patients

I have this scenario, code: 99233 denial Same or similar provider billing same code on same DOS. I just got done talking to the insurance company and stated that there is a modifier that we can use. D... [ Read More ]

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 ]

Initial Hospital Care codes and Admission to Hospital dates?

We've had an error pop up on some claims in ECW when we use initial hospital care codes on dates that are not the date of admission to a hospital. Should we be using subsequent hospital care codes or ... [ 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 ]

E/M billing

I'm not sure if you mean E&M code or diagnosis code, so I'll comment on both. Is he seeing the patient in the hospital? if so, there's no 'level 5' for an inpatient E&M visit with POS 21. Depending... [ 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 ]

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