Fam Pract Manag. 2001 Oct;8(9):19.
FREE PREVIEW Log in or buy this issue to read the full article. AAFP members and paid subscribers get free access to all articles. Subscribe now.
buy this issue. AAFP members and paid subscribers get free access to all articles.
An answer provided in the June 2001 Coding & Documentation article [page 21] stated that a physician should submit an initial hospital care code (99221–99223) rather than an office or outpatient visit code (99201–99215) when he or she sees a patient in the clinic and admits him or her to the hospital on the same day. It also stated that for services provided to the patient in the hospital on the following day, the physician should submit the appropriate subsequent hospital care code (99231–99233).
This would be accurate if the physician went to the hospital to do the admission or otherwise saw the patient in the hospital on the date of admission. However, this wouldn’t be accurate if the physician admitted the patient from the office but didn’t see the patient in the hospital until the day after admission. In that case, the services on the date of admission should be coded using an office visit code, and the visit the day after admission should be coded using an initial hospital care code, since, per CPT, it represents “the first hospital inpatient encounter with the patient by the admitting physician.”
WE WANT TO HEAR FROM YOU
Send your comments to email@example.com. Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.
Copyright © 2001 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact firstname.lastname@example.org for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions