tci E/M Coding Alert - 2021 Issue Q2

Reader Questions: Look to Admitting Physician to Use This Code

Question: When should I use 99221-99223 or 99234-99236 for inpatient care? Michigan Subscriber Answer: The basic difference between the codes is that 99234-99236 (New or Established Patient Office or Other Outpatient Consultation Services) represent the services of an initial hospital service and a discharge service performed on the same calendar date. This means your documentation must reflect the exact times for admission and discharge. To bill 99234-99236, you must have a statement that shows the stay for observation care or inpatient hospital care was greater than eight hours but less than 24 hours,” If the admission is greater...

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