tci Part B Insider - 2013 Issue 45

E/M Coding: Break These 5 Bad Hospital Coding Habits

Ring in the New Year with an improved understanding of subsequent hospital care coding. Coding analysts say that many specialists report 99231 more often than any other subsequent hospital care code, but if you report 99231 for all your subsequent hospital care services, you may be costing your practice more than money -- you could be raising a red flag to payers. What that means: Reporting only 99231 indicates that either most subsequent hospital visits are low-level services or physicians routinely undercode for inpatient care. Since not all hospital visits are low-level, you should be reporting higher-level subsequent hospital...

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