Wiki E/M Inpatient Discharge when patient leaves AMA

treinemer

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If you have a patient that leaves AMA from Inpatient Status can you still bill the Discharge code? The attending dictates all but the exam since the patient wasn't there so if I am reading the directives for 99238 that would be a no. I am seeing in other forums though that you can bill a hospital visit. Any idea???
 
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