Author Topic: Hospital Outpatient E & M Code  (Read 2618 times)

CALI

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Hospital Outpatient E & M Code
« on: May 29, 2012, 03:19:40 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.

macbook

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Re: Hospital Outpatient E & M Code
« Reply #1 on: May 29, 2012, 08:54:21 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.

macbook

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Re: Hospital Outpatient E & M Code
« Reply #2 on: May 29, 2012, 09:00:17 PM »
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.

suzyd

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Re: Hospital Outpatient E & M Code
« Reply #3 on: August 08, 2012, 11:04:58 AM »
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

Michele

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Re: Hospital Outpatient E & M Code
« Reply #4 on: August 08, 2012, 02:04:16 PM »
Are you talking about billing a consultation code for a patient that was admitted?  Just not sure I got what you're asking.
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