tci Part B Insider - 2003 Issue 23

CCI Edits: Hospital E/M Codes Bundled With Dialysis

99231-99233 and 99261-99263 are components of dialysis For physicians who visit hospital patients and perform hemodialysis and other dialysis procedures, it just became a lot harder to bill for evaluation and management separately.    The latest version of the National Correct Coding Initiative, version 9.3, bundles six E/M codes with a number of dialysis codes. Three of these, 99231-99233, cover subsequent hospital care, per day, for the evaluation and management of a patient. The other three, 99261-99263, cover follow-up inpatient consultation for an established patient, requiring at least two of the three components of E/M.   All...

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