Im still very confused about the inpatient “consult.” If we have seen the patient for anything in the past 3 years, we must use Established codes?

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Im still very confused about the inpatient “consult.” If we have seen the patient for anything in the past 3 years, we must use Established codes?

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The three year rule is only applicable for office or outpatient E/M services. When a consulting physician is requested to see a patient in the hospital, they should bill the inpatient admission codes (99221-99223). If the consulting physician continues to see the patient during a specific hospital stay, then the physician would bill the subsequent hospital codes (99231-99233).

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