tci E/M Coding Alert - 2019 Issue 5

You Be the Coder: Modify Your Understanding of Initial Hospital Care Codes

Question: Can you use inpatient initial care codes 99221-99223 more than once in the same day if a different physician sees the patient? Texas Subscriber Answer: You can report a code from the 99221-99223 range (Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components …) range only once per day for physicians of the same group/specialty. You could, however, add up all the documentation for the day to determine the level of service which would fit best based on collective documentation by the physicians of the same group/specialty ...

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