CPT^® 99239, Under Hospital Inpatient or Observation Discharge Services

The Current Procedural Terminology (CPT^®) code 99239 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 more than 30 minutes 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 ]

2022 Split/Shared Visits

Am I correct in thinking that the only codes that are allowed to be billed as a Split (or Shared) are codes 99202-99215 (Other Outpatient) , 99217-99226 (Hospital Observation), 99221-99239 (Hospital I... [ 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 ]

Hospital discharge code after vaginal delivery

Discharge is included in package so far as I'm aware. At my practice (we are not a hospital, our CNM's do deliveries at the hospital, we only bill for the CNM's services) we use placeholder codes for ... [ Read More ]

Hospital discharge code after vaginal delivery

I have a provider billing the delivery code 59400 with the hospital discharge code 99239. Is the delivery code inclusive of the discharge? Thanks in advance to any assistance.... [ Read More ]

Medical Decision Making Table (Number of DXs or Treatment options, DATA Reviewed, and Risk table) Examples for Inpatient Hospital Coding 99221-99239? coding decision examples hospital inpatient level mdm medical risk table

Hi, I wanted to ask if someone can provide me with some links or websites or anything really, that may have a list of common illnesses/injuries that are good examples to use for the different levels o... [ 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 ]

Free Standing E&T Facility POS 51-Should I bill 99212-99215, or 99221-99239?

I recently started working for a mental health group that has several free standing 24 hour evaluation and treatment (E&T) facilities POS 51. They have been billing office or other outpatient E&M code... [ Read More ]

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