tlwhlw
Networker
I have billed out hospital charges for a patient seen on the same day but two seperate hospitals.
hospital #1 -- 99291 w/resp failure, documented time of 70 minutes
Hospital #2 -- 99223, patient was ICU, but physician chose to code as 99223.
Medicare has denied pmt for 99223, as can't bill this code same day as a 99291. After calling Medicare to explain that charges were for 2 seperate hospitals, they suggested a modifier may possibly be used. It's not bundled, so a Mod 59 will not work. Any suggestions???
hospital #1 -- 99291 w/resp failure, documented time of 70 minutes
Hospital #2 -- 99223, patient was ICU, but physician chose to code as 99223.
Medicare has denied pmt for 99223, as can't bill this code same day as a 99291. After calling Medicare to explain that charges were for 2 seperate hospitals, they suggested a modifier may possibly be used. It's not bundled, so a Mod 59 will not work. Any suggestions???