tci E/M Coding Alert - 2014 Issue 8
Hospital Inpatient: Don't Fret, 99221-99223 Replace Consult Codes
Adopt modifier AI when there’s more than one initial care performed. Because, as of 2010, CMS no longer pays for outpatient and inpatient consult codes and most coders refer to 99221-99223 (Initial hospital care, per day, for the evaluation and management of a patient…) as “admit” codes, coding for initial hospital consultation services is difficult. If you don’t use initial inpatient hospital codes very often, you may have forgotten that when CMS stopped payment for consultation codes, it provided a workaround modifier to enable a physician that admits a patient and another physician that...
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