cpccoder2008
True Blue
Can someone please clarify this ? http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
30.6.9
F. Initial Hospital Care Service History and Physical That Is Less Than Comprehensive
When a physician performs a visit or consultation that meets the definition of a Level 5 office visit or consultation several days prior to an admission and on the day of admission performs less than a comprehensive history and physical, he or she should report the office visit or consultation that reflects the services furnished and also report the lowest level initial hospital care code (i.e., code 99221) for the initial hospital admission. Contractors pay the office visit as billed and the Level 1 initial hospital care code.
30.6.9
F. Initial Hospital Care Service History and Physical That Is Less Than Comprehensive
When a physician performs a visit or consultation that meets the definition of a Level 5 office visit or consultation several days prior to an admission and on the day of admission performs less than a comprehensive history and physical, he or she should report the office visit or consultation that reflects the services furnished and also report the lowest level initial hospital care code (i.e., code 99221) for the initial hospital admission. Contractors pay the office visit as billed and the Level 1 initial hospital care code.