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ER place of service for 99223
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Re: ER place of service for 99223
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Steve Verno
Re: ER place of service for 99223
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Jan 26 07 3:20 PM
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Here is the problem I see.... the patient was still an ED patient and the doctor did the write up on Monday while the patient was still in the ED. The patient was not admitted to the hospital until an unknown time on Tuesday.
Per CPT:
When the patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (eg, hospital emergency department, observation status in a hospital, physician's office, nursing facility) all evaluation and management services provided by that physician in conjunction with that admission are considered part of the initial hospital care
when performed on the same date as the admission.
The inpatient care level of service reported by the admitting physician should include the services related to the admission he/she provided in the other sites of service as well as in the inpatient setting.
Evaluation and management services on the same date provided in sites that are related to the admission "observation status" should NOT be reported separately. For a patient admitted and discharged from observation or inpatient status on the same date, the services should be reported with codes 99234 99235 -99236 as appropriate.
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General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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ER place of service for 99223
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