Thanks,
Priya,CPC
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Outpatient
Facility billing- Can newborns be billed as inpatient OR outpatient ?
Initially we billed all deliveries as Inpatient but some moms leave the next day so we have now applied the 2 midnight rule to determine whether the mom is inpatient or outpatient. My question now is what about the newborn billing?? I feel like the newborn billing should match the mother’s billing, if moms billing is outpatient so should the newborns be. But up to now we have been billing the newborns as inpatient.
Wondering what input anyone has on this facility billing regarding outpatient or inpatient for Deliveries and Newborn admits/discharges.
TIA
KAM
Career Advice and Question about Hospital Outpatient Physician Coding
Thank you for your time,
Jack
Outpatient billing
CPT 96365 and 96367 in Outpatient Hospital Setting
I’m auditing an outpatient UB that has 96365 on 10/9/18 and 96367 on 10/10/18. I’m new to Outpatient coding and was wondering if billing these on different dates of service is allowed. The itemized bill does not have times or anything like that attached. If it is or is not allowed, can you please let me know what source you used and possibly the URL? I have to be able to defend my audits.
Thanks!
Yvonne
L1833 billing on same date as outpatient surgery
Outpatient consultations
This is my first time in the Forum, so please accept my apologies if I’m not using the proper guidelines, if there are any. My question is regarding how to select the correct outpatient consultation code. Do I follow the same guidelines as I would in selecting the proper level E/M? Do consults require a certain number of elements for ROS, PFSH, Body areas/organ systems to review? I know it’s time based, but what else is there? I’ve researched this topic and come up with NOTHING!!! Help!!
E/M Outpatient Office visit
Needing just a little help regarding presenting problems. There was insight that I had received stating that a presenting problem that is less than 72 hours with a prescription being prescribed would be a 99203 instead of a 99202. Is this true? The following example I usually would level as a 99202 regardless of time I see the plan of care being straightforward due to the fact the dr did perform a strep to figure out what is going on which came back negative and then he went on to prescribe the medication due to the ear. Can anyone let me know how they would code the following?
Guidelines 1995
CC: Ear pain for 3 days + sore throat
27 year old male, new patient presents with earache ongoing for 3 days. Ear does have slight drainage, tender to touch and sore throat. Pt denies headache, nausea, cough, no discomfort of eyes.
Medical History: Knee surgery 2007
Family: Mother heart disease, hypertension
Social: Occasional alcohol
Constitutional: 100 body temp
Pt looks state age, well groomed
Eyes: clear, bright,
ENMT: ear is tender, some drainage, mildly swollen, red
throat is somewhat sore
Respiratory: breathing is well, no crackles, etc…
Integumentary: skin is warm to touch
Found through examining the ear does have mild drainage, tender and red. For the throat performed a strep test which was negative. Due to the drainage, tenderness and slight swelling of the ear will prescribe ofloxacin. As for the sore throat recommended warm salt water gargles and Chloraseptic. Go to emergency department if symptoms worsen.
multiple outpatient procedure billing with Modifiers
Patient comes to the outpatient clinic for a allergy shot, flu shot and b12 injection – which modifiers would go on which cpt codes? No E/M service.
95115(allergy)
90471 – 59 OR 51 OR NONE
90756 (flu)
96372-59 OR 51 OR NONE
J3420
Thank you!
Infusion coding in an outpatient setting
Thanks,
Julie