tci E/M Coding Alert - 2018 Issue 7

Guidelines: Solve These Subsequent Care Scenarios

Let our experts help you evaluate and manage service level determinations. When a provider is called upon to provide care for one of your patients following a hospital admission, coders know they should immediately flip to the 99231-99233 (Subsequent hospital care, per day, for the evaluation and management of a patient …) codes in their CPT® manuals. But assigning the correct code for the level of service can be an intimidating task. Why? Like most evaluation and management (E/M) services, coding subsequent care requires you to apply an elaborate formula based on the level of history taken, the...

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