AshleyMartin
Networker
The physicians in my practice see a lot of patients in Observation status. We are trying to correct claims from 2009 prior to CMS stopping payment on consultation codes. My question is concerning who can actually bill 99217, only the admitting physician or can the consulting physician bill it also?
Sceniaro: Dr A consults specialist Dr B on Mrs Q. Dr B bills the appropriate outpatient consult code frin 99242-99245. The next day Dr B sees the patient again and states that the patient is ok for d/c therefore d/c the patient from his service.
Would Dr B bill 99217 even though he is the consulting physician and not the admitting because he is also d/c from his service? Or would Dr B bill an outpatient code 99212-99215 based on documentation?
Simple way of putting it would be -- Does 99217 apply to the consulting physician also, or is only the admitting physician allowed to bill it?
Sceniaro: Dr A consults specialist Dr B on Mrs Q. Dr B bills the appropriate outpatient consult code frin 99242-99245. The next day Dr B sees the patient again and states that the patient is ok for d/c therefore d/c the patient from his service.
Would Dr B bill 99217 even though he is the consulting physician and not the admitting because he is also d/c from his service? Or would Dr B bill an outpatient code 99212-99215 based on documentation?
Simple way of putting it would be -- Does 99217 apply to the consulting physician also, or is only the admitting physician allowed to bill it?