Medical Billing Forum

Coding => Coding => : CALI May 29, 2012, 06:19:40 PM

: Hospital Outpatient E & M Code
: CALI May 29, 2012, 06:19:40 PM

Is there a code for outpatient hospital E & M?  We use 99223 for inpatient E & M.   This is when the patient is having outpt procedures done & is not admitted.

: Re: Hospital Outpatient E & M Code
: macbook May 29, 2012, 11:54:21 PM

If you look in your cpt book. There are codes for encounters that is designated as observation status. Of course , coding this cpt code is dependent on the medical records on hand for that pt. but just for reference purposes, the equivalent of 99223 would be 99220.

Hope this helps.

: Re: Hospital Outpatient E & M Code
: macbook May 30, 2012, 12:00:17 AM

Also, you cannot use 99223 for outpatient/observation status. And don't forget to use the correct POS 22 for observation codes.

Hope this helps.

: Re: Hospital Outpatient E & M Code
: suzyd August 08, 2012, 02:04:58 PM

I have a good understanding of how to bill for consults done by my specialist for observation patients.   But I am unclear as to what to do for consults done on patients with commercial insurances when the patient is admitted under observation status.  Can anyone on here help me out

: Re: Hospital Outpatient E & M Code
: Michele August 08, 2012, 05:04:16 PM

Are you talking about billing a consultation code for a patient that was admitted?  Just not sure I got what you're asking.