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Established patient codes (99211-15) vs Subseq hosp codes (99231-33) for outpt stay

Question pertaining billing established patient codes versus subsequent hospital codes for an outpatient stay, POS 22:

Why we would use E/M 99212-99215 with POS 22 instead of the subsequent observation care codes 99224-99226? Is there an advantage of using one set of codes over another, or specific rules for why we would use one set over the other?

Thanks in advance for any advice–

Medical Billing and Coding Forum

outpt acute renal failure converted to esrd in same month billing

I have a dialysis billing question
..pt is billed 90935 on two separate days in august for acute renal failure as an outpt.
..pt is now declared ESRD at the end of the month and md provides a complete comprehensive visit, 90962

can I bill all three charges: 90935 x2, and 90962?
or can I now only bill the comprehensive visit 90962?

:confused:

thx for any opinions

Medical Billing and Coding Forum