AMA CPT® Assistant - 2007 Issue 7 (July)

Evaluation and Management: Hospital Inpatient Services (July 2007)

July 2007 page 12 Coding Communication:Evaluation and Management: Hospital Inpatient Services Question If a patient is admitted to our service from the emergency department before midnight and the physician does not see the patient until the following morning, what is the appropriate code to report? AMA Comment It is appropriate to report an initial hospital admission code from the 99221-99223 series (Initial Hospital Care), when the physician provides a face-to-face inpatient encounter with the patient in the hospital. Because the physician did not provide face-to-face inpatient hospital services on the first date that the hospital will show as the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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