Urological Non Surgical Hospital Coding for 2014
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This document discusses coding for non-surgical urological hospital services. It notes that the concept of new or established patient does not apply, and that admission, consultative, subsequent visit, shared/split, and discharge services all have specific codes. It reviews codes for initial hospital visits (99221-99223), subsequent visits (99231-99233), and consultations (99231-99232 in place of 99251-99252, and without transfer of care requirements). The document provides an overview of special coding rules and scenarios for non-surgical urological hospital admissions and visits.
Urological Non Surgical Hospital Coding for 2014
- 1. Urological Non Surgical Hospital Coding for 2014 Presenter Michael A. Ferragamo Follow us : Non surgical hospital admissions still represent services that urologists perform on a daily basis in a hospital setting. Coding for these services often go undocumented or under billed.
- 2. Urological Hospital Visits Special Coding Rules and Scenarios Concept of new or established patient does not apply for hospital services Admission and consultative services/codes (they may be the same CPT codes) Subsequent visit services/codes Shared/split services/codes Discharge services/codes 2
- 3. Urological Hospital Visits Special Coding Rules and Scenarios Admission/discharge codes performed on the same day Floor Time billings (not necessary all face to face) Single (per diem) day charges/billing Hospital codes may include work at all sites Observation Services, (< 24 hours stay) No Chief Compliant or PFSH documentation required for subsequent hospital visits 3
- 4. Hospital Visits 99221-99223 99231-99233 Initial Hospital Visits: 99221-99223 Used for first visitAdmission Consultations(in place of 99253 to 99255) Subsequent Hosp. Visits: 99231-99233 Follow up hospital visits Low level Consultations(99231 and 99232) In place of 99251 and 99252 Repeat Consultations.. (during the same admission) 4
- 5. Hospital Consultations What Constitutes a Hospital Consultation? Request for opinion/advice Transfer of careno longer applicable for Medicare consults Criteria no longer required Written or verbal request/reason Report or Written Consultation 5
- 6. To see the complete presentation check the below link: http://www.audioeducator.com/urology/urological-non-surgical-coding-2014- 10-22-2014.html