What modifier does 99223 use?

AI
The documentation corresponds to the highest initial admission service, 99223. Given the recent Medicare billing changes, the attending of record is required to append modifier “AI” (principal physician of record) to the admission service (e.g., 99223-AI).

Is 99223 a consult code?

The correct inpatient consultation codes for a first evaluation are 99221-99223. These codes are used for the inpatient History and Physical (H & P), as well as any specialty consultation (limited to one visit from each specialty).

Is CPT 99220 inpatient or outpatient?

Initial Hospital Observation Service CPT codes 99218 – 99220 describe the first visit of the patient’s admission for outpatient hospital observation care by the Admitting/Supervising Physician or Other Qualified Health Care Professional.

What is AI modifier?

Principal Physician of Record
Modifier “-AI,” defined as “Principal Physician of Record,” shall be used by the admitting or attending physician who oversees the patient’s care, as distinct from other physicians who may be furnishing specialty care.

What does CPT code 99223 mean for Medicare?

Medicare allows only the medically necessary portion of a face-to-face visit. Even if a complete note is generated, only the necessary services for the condition of the patient at the time of the visit can be considered in determining the level/medical necessity of any service. CPT Code 99223.

What is the CPT code for central venous access?

The Current Procedural Terminology (CPT) code range for Central Venous Access Procedures 36589-36590 is a medical code set maintained by the American Medical Association. Subscribe to Codify and get the code details in a flash.

Can a 99233 be billed on the basis of time?

Alternatively a 99233 can be billed on the basis of time as described below. Time based 99233 The 99233 represent what would typically be 35 minutes of care at the patient bedside or on the patient’s floor or unit. If 35 minutes was spent with a patient, if there is specific documentation, it is felt that the time alone may justify the 99233.