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Q: Can you bill CPT code 99235 with a place of service of 22?
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Can I bill a 99235 when the patient is admitted 070115 at 5 pm and discharge 070215 at 10 am?

No, you cannot bill a 99235 code in this scenario. The total duration of the admission is less than 48 hours. To bill a 99235, the patient must be admitted and discharged within a 48-hour period.


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What is medical code 99235 mean?

99235 is the CPT code for observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires 3 key components: a comprehensive history, a comprehensive exam, and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem and the patients and/or family's needs. Usually the presenting problem requiring admission are of moderate severity.


How do you code 90772 to Medicare?

90772 must be filed to Medicare along with the drug code. If you are not filing a drug code when reporting 90772, you can not bill 90772. You would bill 99211 as long as the physician is present for general supervision. If the physician is not present, the patient brought his/her medication to the office, you can not bill for the service. Hope this helps, PCC


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