tci E/M Coding Alert - 2021 Issue Q1

You Be the Coder: Looking for an Admit Code? Think Again

Question: Our provider often does rounds at the hospital and the other day, he admitted a patient and asked me to report the admit code. I can’t find it anywhere. Can you help? Georgia Subscriber Answer: The admitting physician should report a code from the 99221-99223 (Initial hospital care, per day, for the evaluation and management of a patient …) range based on what they document (appropriate history, exam, and medical decision making). The doctor is not billing for the admit itself — they’re billing for the initial care that they provide, based on the documentation...

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