Wiki In-Patient Visits

cotton

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How should an in-patient visit be billed for a Mediare patient, when a specialist is asked to see patient for the first time and they are not the admitting doc?
 
The specialist would bill his/her initial visit of 99221-99223 depending on the documentation, with the admitting provider billing the same 99221-99223 with the AI modifier.

hope this helps!
 
How should an in-patient visit be billed for a Mediare patient, when a specialist is asked to see patient for the first time and they are not the admitting doc?

Depending on documentation, 99221-99223

All physicians who provide an initial visit to a patient during hospital care shall report an initial hospital care code (99221-99223).

http://www.cms.gov/manuals/downloads/clm104c12.pdf

Page 51.

Section 30.6.10 elaborates on this further...
 
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