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- Resolve Initial vs. Subsequent Encounter Misconceptions
Initial vs Subsequent It’s been six years since the ICD-10-CM implementation, but many coders and providers still struggle with assigning the seventh character for initial and subsequent encounters These 7 th characters identify two episodes of care that incur distinct management options and costs
- When Is an Injury Initial, Subsequent, or Sequela? - AAPC
Many injury codes in Chapter 19 of ICD-10-CM require a 7th character to identify the episode of care: initial, subsequent, or sequela
- CPT® Code 99231 - Subsequent Hospital Inpatient or Observation . . . - AAPC
The Current Procedural Terminology (CPT ®) code 99231 as maintained by American Medical Association, is a medical procedural code under the range - Subsequent Hospital Inpatient or Observation Care
- Fracture Diagnosis Coding: Initial Visit vs. Subsequent Visit
Subsequent Means Aftercare Subsequent equates to aftercare treatment, and may be appropriate to code even when it’s the provider’s first time seeing the patient For example, if the first time a provider sees the patient for the fracture is to continue post-treatment care, the initial visit is a subsequent fracture encounter
- Wiki - Initial vs subsequent vs sequela | Medical Billing and Coding . . .
The use of the initial vs subsequent vs sequela is not based on the encounter being the first encounter with the provider It is based on the status of the injury If the fracture was appropriately and definitively treated in the ER and your provider is following up on that care then you use the 7th character for subsequent even if this is a new patient encounter or you are seeing the patient
- 3 Tips Focus Subsequent Care Coding : Inpatient E M - AAPC
For each subsequent day that your surgeon provides E M services, you can bill the appropriate subsequent hospital care code Exception: If your surgeon is not the admitting physician, but provides an E M service for a Medicare patient on the admission date, you can report a subsequent hospital care code
- Global Period: Reporting Subsequent Inpatient E M Services . . . - AAPC
The question was, “Is subsequent inpatient E M services or discharge evaluations following surgery within the global period reportable? If so, what modifier is appropriate?” As is the case with most coding questions, the answer is: it depends The ability to report subsequent hospital care following surgery is conditional
- Improve Your Subsequent Hospital Care Coding - AAPC
This means either most subsequent hospital visits are low-level services or doctors routinely undercode for inpatient care As long as your documentation warrants it, you should feel free to report higher-level subsequent hospital care
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