tci General Surgery Coding Alert - 2004 Issue 3

Reader Question: Report 99255 Just Once Daily

Question: If I report 99255 more than once for the same patient on different days, Medicare does not pay, stating that this is a "duplicate procedure." Is my carrier processing the claim correctly?Oregon Subscriber Answer: The descriptor for 99255 (Initial inpatient consultation for a new or established patient ...) clearly indicates "initial" inpatient consultation, and CPT further says, "Only one initial consultation should be reported by a consultant per admission." In other words, Medicare is correct in this case. If your physician sees the same patient several times during a single hospital stay, you may...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.