Can you bill for a discharge summary?

The discharge summary also is part of the global surgery package. When your supervising physician co-signs and validates your note, she can bill as though she did the note herself as defined in the scope of practice and credentialing process at your hospital.

How do you bill a discharge code?

Hospitalists should report one discharge code per hospitalization, but only when the service occurs after the initial date of admission: 99238, hospital discharge day management, 30 minutes or less; or 99239, hospital discharge day management, more than 30 minutes.

What does CPT code 99238 mean?

Hospital Discharge Day Management Service
The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service with the patient and his/her attending physician.

Can you bill a discharge without an admit?

And when a patient is admitted to the hospital, you cannot bill for an observation discharge that same calendar day. That code can be used only if patients are discharged home, not transferred to the floor.

Can you bill the day of discharge?

A: CPT code 99217, observation care discharge day management, is used for billing when a patient is discharged from observation care on a date other than the date he or she was placed in observation status.

What should a discharge summary include?

Procedures and treatment provided: description of the events occurring to a patient during the hospital stay; and/or. description of surgical, medical, other specialty, or allied health consults a patient experienced as an inpatient (or a note of “no consults”); and/or.

Who is responsible for discharge summary?

Interpretive Guidelines §484.48 – The HHA must inform the attending physician of the availability of a discharge summary. The discharge summary must be sent to the attending physician upon request and must include the patient’s medical and health status at discharge.

What is the difference between 99238 and 99239?

There are two CPT codes to choose from for these services “99238 and 99239 “and the difference between them comes down to time. If the entire discharge, including all preparation, takes 30 minutes or less, you need to report 99238. If, on the other hand, the process takes more than 30 minutes, you should report 99239.

What is the CPT code 99221?

CPT® 99221, Under New or Established Patient Initial Hospital Inpatient Care Services. The Current Procedural Terminology (CPT®) code 99221 as maintained by American Medical Association, is a medical procedural code under the range – New or Established Patient Initial Hospital Inpatient Care Services.

What is the difference between 99223 and 99233?

Assuming the same high complexity MDM for both code groups, the decision to bill a 99223 vs 99233 comes down to how much additional time the physician wants to spend performing a complete review of systems and a complete physical exam and a past medical, family and social history.