We have been having a discussion in our office regarding the billing of a daily hospital visit and death pronouncement on the same day. Here is the senario:
Hospitalist sees pt at 10am & codes 99232, at 7:30pm same hospitalist is called to pt's room, pt is pronounced dead at 7:37pm.
The question is can you charge for both the 99232 & the 99238? Medicare indicates that these should not be billed together- only on the NCCI edits, but is it possible to append a 59 modifier to indicate that they are separate services?
Any information would be helpful.
Hospitalist sees pt at 10am & codes 99232, at 7:30pm same hospitalist is called to pt's room, pt is pronounced dead at 7:37pm.
The question is can you charge for both the 99232 & the 99238? Medicare indicates that these should not be billed together- only on the NCCI edits, but is it possible to append a 59 modifier to indicate that they are separate services?
Any information would be helpful.