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Click here for more sample CPC practice exam questions and answers with full rationale

Inpatient new vs established patient

We are having a discussion about initial inpatient codes. Since they are for new or established patients, how do you make the determination which inpatient codes are appropriate?

1) If it is the initial visit by the non-admitting physician and consult code can’t be billed, can you use the initial visit codes?

2) If it is the initial visit by the non-admitting physician and the patient is established to the physician can you use either the initial or subsequent codes?

Any input is greatly appreciated!!

Thanks,
Sheila

Medical Billing and Coding Forum