So since Medicare no longer accepted the consult code, we were pointed in the direction of the Initial inpatient hospital care codes (99221-99223), however now the insurance companies that were following suite are now processing those codes as they are written, which is the first hospital inpatient encounter with the admitting physician. SO if my docs are consulted in an inpatient setting, what on earth am I supposed to charge?? A subsequent visit? Because it is subsequent to the initial encounter of another physician?? (this is the only logic I can come up with)

Any and all help would be much appreciated!!
Sharyn