tci General Surgery Coding Alert - 2018 Issue 9

Inpatient E/M: 3 Tips Focus Subsequent Care Coding

Avoid consultation codes for Medicare. When your surgeon provides ensuing E/M services to a hospital inpatient, do you know when and how to use subsequent-care codes to capture the work? Let our expert advice help you avoid errors as you turn to the following codes when circumstances indicate: 99231 (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity … Typically, 15 minutes are spent at the...

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