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.

1. Urological Non Surgical Hospital Coding for 2014
Presenter
Michael A. Ferragamo
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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
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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
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4. Hospital Visits
99221-99223 99231-99233
• Initial Hospital Visits: 99221-99223
– Used for first visit…“Admission”
– 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)
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5. Hospital Consultations
What Constitutes a Hospital Consultation?
• Request for opinion/advice
• Transfer of care…no longer applicable for
Medicare consults
• Criteria no longer required
• Written or verbal request/reason
• Report or Written Consultation
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6. To see the complete presentation check the
below link:
http://www.audioeducator.com/urology/urological-non-surgical-coding-2014-
10-22-2014.html