If we have seen a new consult in the office (99254) then the patient gets admitted to the hospital and we are reconsulted within 3 years for the same issue at that inpt stay, how do I bill it? I have tried a 99233 and it went through with Medicare but they wouldn't pay a 99215 with the place of service 21, which someone told me was how I was supposed to bill it. Medicare won't pay a 99354 extended time code on a 99233 so we only got paid for part of our time. So what happens when you spend 60-80 minutes on an inpatient consult in a patient who is known to you from you office? I would be very greatful for any advice.
Thanks,
Katie