Forum - Questions & Answers

May 15th, 2019 - nate0922 7 

Level 3 & Level 4 Hospital Consults

The issue we are having as specialists being called to consult a patient at a hospital, our doctor(s) might write that he did a level 3 consult and we would use 99222 for in-patient or 99218 for out-patient OR for a level 4 consult we would use a 99223 for in-patient or 99219 for out-patient and often times our claims are denied because it states that it has been already billed by the admitting doctor. If we are NOT the admitting doctor what codes would we use instead for Level 3 (in-patient & or out-patient) and also for Level 4 (in-patient & or out-patient)

Jun 4th, 2019 - ChrisW   256  1 

re: Level 3 & Level 4 Hospital Consults

The codes mentioned are only payable once per day and would be billed by the admitting provider, if your provider is doing a consult, he should report Consultation codes. Consult codes for New and established inpatient are billed with 99251-99255

Jun 11th, 2019 - nate0922 7 

another question

So then, what is the consultation code range for outpatient services in this particular case?

Sep 27th, 2019 - Stevensonda 1 

Re: Level 3 & Level 4 Hospital Consults

Consult codes for New and Established Office or Other Outpatient Consultation Services 99241-99245

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