Wiki Decision for surgery - My orthopedist was asked to see a new

Create Wiki
M

madgejones10

Guest
Messages
76
Location
Charlottesville, VA
Best answers
0
My orthopedist was asked to see a new (to our practice!) Medicare patient in the hospital, admitted from the ER with a left femoral neck fracture. After evaluating the patient and writing a consult note to the hospitalist, he made the decision to do a hemiarthoplasty. I billed as follows:

99232 (57)
27236

Medicare denied the 99232 saying it was included in the pre/post-opcare. Is 99232 the wrong code? Since she was a new patient to us, should I have used something different?
PLEASE HELP !!!
 
why would you use a subsequent hospital care code, if the pt is new to you and a hospitalist admitted and requested your consult you would use 99222-57 (without an AI modifier for admitting the pt. the hospitalist would use the same 99222 with an AI modifier for the admission).
 
You must log in or register to reply here.
Top