tci General Surgery Coding Alert - 2009 Issue 13

READER QUESTIONS: Does DOS Affect 'Admit' Coding?

Question: My surgeon admitted a patient who presented to the emergency room late at night. Even though the patient was admitted before midnight, my physician didn't see her until a few hours later, which means the date of service for the hospital admission does not match the surgeon's first face-to-face encounter with the patient. Should I report 99222 with the first date of service? Wisconsin Subscriber Answer: No, you should report the appropriate initial hospital care code (99221-99223, Initial hospital care, per day, for the evaluation and management of a patient ...) with the date of service (DOS) when...

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