tci General Surgery Coding Alert - 2003 Issue 10

Subsequent Hospital Care: Think 99231 Is the Only Option? Think Again

4 tips could keep your practice from losing more than $2,400If you report 99231 for all of your subsequent hospital care services, you may be costing your practice more than money. You could be raising a red flag to payers or marking yourself for an audit. According to CMS data, general surgeons report 99231 more often than any other subsequent hospital care code. This indicates that either most subsequent hospital visits are low-level services or surgeons routinely undercode for inpatient care. But as long as your documentation warrants it, you should report higher-level subsequent hospital care. ...

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