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If a specialist sees a patient for the first time in an inpatient setting on day 3 of their hospital stay, how should this visit be coded?

April 26, 2017hospital inpatient patient sees setting specialist stay time

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If a specialist sees a patient for the first time in an inpatient setting on day 3 of their hospital stay, how should this visit be coded?

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This visit would be considered an initial hospital care visit and therefore billed as a 99221-99223 unless the specialist has already seen this patient and the encounter is a follow-up inpatient, which would be reported as a subsequent inpatient encounter (99231-99233).