mercredi 26 août 2015

Initial hosp. Care e and m

This is going to sound like a beginner question BUT here goes. What is already know.....If a patient as admitted as an inpatient, the admitting physician would bill 99221 thru 99223 depending on the key components....The lowest E & M for an inpatient admission is 99221 which is a detailed or comprehensive history, a detailed or comprehensive exam, and medical decision is strightforward or low..Being :confused:intital hospital care 3 out of 3 key components have to be met....My question is...what if the admitting physician does not meet all the key components for even the lowests Initial Hospital Care E & M...Like say the History was only expanded problem focused. The admitting physician does a expanded problem focused hsitory, a detailed exam, and straightforward medical decision making...they did not meet the criteria for a 99221...would they bill a subsequent 99231, instead of an initial, which they do meet??


Initial hosp. Care e and m

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