tci General Surgery Coding Alert - 2010 Issue 4
You Might Use 'Subsequent' Care -- Even When it's Not
Absent consult codes, CMS offers this solution for low-level initial care. What should you do when the initial hospital care that you used to bill to Medicare using a consultation code doesn't add up to the lowest-level inpatient care code? That's been the million-dollar question since Jan. 1 when Medicare ceased accepting consultation codes (99241-99255, Office/Inpatient consultation for new or established patient ...). Now CMS offers a solution for when your general surgeon's initial hospital care doesn't meet the requirements of 99221 (Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3...
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