tci E/M Coding Alert - 2019 Issue 3

Reader Question: Pick Initial Care Code Once When Multiple Providers Involved

Question: Can you use inpatient initial care codes 99221-99223 more than once in the same day if a different physician sees the patient? North Carolina Subscriber Answer: You can report a code from the 99221-99223 (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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