Kestrelwa
Contributor
I need your opinion please
Medicare Patient is seen in ER on Sunday, has reduction of fracture and then admitted to Observation. On Monday Ortho doctor is called to consult on the pt in the Observation area, 99213. Ortho dr. decides the pt needs pinning sometime this week. The pt is discharged home from observation. The next day, Tuesday, the pt is seen in the Ortho clinic and the Ortho Dr evaluates pt again, 99213. Surgery is planned for Thursday of the same week.
My question is can this doctor bill for his consult in the Observation and then again the next day in the clinic? He wants to bill 99213 for both visits.
Thanks for your help!!
Lori
Medicare Patient is seen in ER on Sunday, has reduction of fracture and then admitted to Observation. On Monday Ortho doctor is called to consult on the pt in the Observation area, 99213. Ortho dr. decides the pt needs pinning sometime this week. The pt is discharged home from observation. The next day, Tuesday, the pt is seen in the Ortho clinic and the Ortho Dr evaluates pt again, 99213. Surgery is planned for Thursday of the same week.
My question is can this doctor bill for his consult in the Observation and then again the next day in the clinic? He wants to bill 99213 for both visits.
Thanks for your help!!
Lori