tci Medicare Compliance & Reimbursement - 2007 Issue 13

CCI 13.1: You Can't Ever Bill Two Hospital Visits To The Same Patient On The Same Day

Don't bill chemodenervation with neurological testing.There's no reason you would ever have to bill two "new patient" office visits by the same patient on the same day, but now you won't be able to anyway. Correct Coding Initiative (CCI) version 13.1 bundles each new patient visit code from 99201-99205 with every lower-level code in the same series. You can't use a modifier to override those edits.The same goes for initial observation codes 99218-99220, inpatient consultation codes 99251-99255, domiciliary/rest-home visit codes 99324-99337 and home visit codes 99341-99345. Also, subsequent hospital care codes 99231-99233 are all bundled with...

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