tci Part B Insider - 2011 Issue 35

Part B Mythbuster: 99221-99223: Are These Merely 'Admit' Codes, or Can Non-Admitting Docs Report Them?

Get to the bottom of this growing myth and you'll be on the road to easier claim reimbursement.Now that Medicare doesn't pay for consult codes, you may be a bit lost when it comes to reporting inpatient hospital visits--in fact, many practices avoid reporting codes from the 99221-CPT 99223 range unless their physician is the admitting doctor. This, however, is a common Part B myth that has continued to grow over the past year following CMS's denial of consult codes.The reality: CMS actually expects you to report codes from the 99221-99223 (Initial hospital care) range for your...

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