CPT^® 99238, Under Hospital Inpatient or Observation Discharge Services

The Current Procedural Terminology (CPT^®) code 99238 as maintained by American Medical Association, is a medical procedural code under the range - Hospital Inpatient or Observation Discharge Services.

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Summary

The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the encounter date.

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Split Shared -New change by cms in 2022

[QUOTE="bjperry, post: 513804, member: 216638"] Split shared billing by time for inpatient discharge code 99238 and 99239. In the case of billing by time do the split shared guidelines apply to time f... [ Read More ]

Split Shared -New change by cms in 2022

Split shared billing by time for inpatient discharge code 99238 and 99239. In the case of billing by time do the split shared guidelines apply to time for discharge codes? Example the APP documents th... [ 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 ]

99238 telehealth

I received a denial for using 99238 with the modifier 95 for telehealth. Blue Cross/Blue Shield is stating this modifier cannot be used with 99238. I am not finding any definitive information regardin... [ Read More ]

Modifier prior to surgical procedure

[QUOTE="gcohen, post: 508830, member: 433667"] 99238 the day prior to 41520 [/QUOTE] The patient was discharged from an IP stay to be brought back the next day for the 41520 all by the same provider?... [ Read More ]

Modifier prior to surgical procedure

99238 the day prior to 41520... [ Read More ]

99462 and 99238 on the same DOS

[QUOTE="Skrepps, post: 506104, member: 702242"] I am new to hospitalist/newborn coding. I have a combined progress note/discharge summary. The hospitalist put up 99462 and 99238 for the same DOS. Is t... [ Read More ]

99462 and 99238 on the same DOS

I am new to hospitalist/newborn coding. I have a combined progress note/discharge summary. The hospitalist put up 99462 and 99238 for the same DOS. Is this okay to bill this way? Any advice would be g... [ Read More ]

DC charges

If the discharge orders, exam & everything else is there, just not the time, then 99238 is appropriate. [URL unfurl="true"]https://www.todayshospitalist.com/Answers-to-your-questions-about-discharge... [ Read More ]

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