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Coding Subsequent Obvervation Care for Non-Admitting Physician
Per the CMS guidelines Chapter 12 30.6.8 only the admitting physician can bill initial observation care services as well as subsequent observation care services. Which set of codes should be applied to visits billed by physicians other than the admitting in the observation OP setting? Furthermore, on an observation discharge date, could an OP visit be billed for any other specialty and/or physician that visits on that DOS where the patient was discharged from observation care?
TIA
Medicare Risk Subsequent visits POS 22
Initial vs. subsequent encounter
Critical care and subsequent hospital care code
Thanks!
Pregnancies, First v. subsequent
Is the ‘second’ pregnancy considered a ‘first pregnancy’ (i.e. Z34.01), or a subsequent pregnancy (Z34.81), since the first
one wasn’t a ‘full’ pregnancy that resulted in a birth…
Pure logic would have me believe it’s the second pregnancy, technically, because she’s been pregnant twice, but… Here I’ve gone
and started getting philosophical, so… Anybody have any concrete knowledge on this?
Thanks in advance!
Childbirth aftercare/IP subsequent day codes
Wiki subsequent orthopedic inpatient visits, i. 99231, 99232
thanks for the help in advance
Billing 99211 for subsequent wound care sessions
According to the CPT manual, a 99211 is an office or other outpatient visit that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, five minutes are spent performing or supervising these services. Unlike the rest of the office visit codes, 99211 does not have any documentation requirements for the history, physical exam or complexity of medical decision making. The nature of the presenting problem need be only minimal, such as monthly B-12 injections, suture removal, dressing changes, allergy injections with observation by a nurse, and peak flow meter instruction. (For more examples, see Appendix D of the CPT manual.)
Scenario. In our outpatient hospital wound care setting, the subsequent wound care sessions consist of wound care dressing changes by the RN usually 20 sq cm area of wound, ankle brachial pressure index readings by the RN for 15 minutes, and a referral back to the surgeon for his advice/opinion on the case. The surgeon (MD) signs off on the clinical documentation of the encounter. The entire session lasts no less than 25 minutes, and on average 30 minutes. Will still be considered a 99211 billing?
Please advise.
Thank you again.
NP Subsequent Hosp Visits? and Discharge?
NP Is part of our private practice (NOT a Hosp NP) (Our MD has privileges at hosp not employed by them)
I know she can see PT as consults at hospital. However, I once was told that I cannot bill for subsequent visits.
I am looking for info input or documentation-
-Our NP sees patient on Subsequent visits in the hospital, can she get paid for this? …if only she sees the PT?
I bill for Illinois and Missouri. Please advise, thanks, Kimber