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Does the patient present to the Emergency Department?
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YES
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Is patient treated and discharged from the ED?
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YES
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Use CPT codes 99281-99285
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NO
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NO
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Is patient admitted to inpatient status?
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YES
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Is this the initial visit for a clinic provider?
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YES
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Has another provider asked for your advice or opinion for his/her patient?
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YES
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Report consultation codes 99251-99255
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NO
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NO
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NO
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Is patient admitted to observation status?
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Report CPT codes 99231 -99233 for subsequent visits
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Report CPT codes 99221 -99223 for initial visit
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YES
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Was the patient admitted and discharged on the same calendar date?
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NO
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Is this the initial visit for a clinic provider?
|
YES
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Has another provider asked for your advice or opinion for his/her patient?
|
YES
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Report consultation codes 99241-99245
|
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YES
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NO
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NO
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Was the total time admitted greater than 8 hours?
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YES
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Report CPT codes 99234-99236
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Is the visit for discharging the patient?
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Report CPT codes 99218-99220
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NO
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YES
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Report CPT codes 99218-99220
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Report CPT code 99217
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Hospital Coding
