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billing [2024/01/02 12:42] adminbilling [2024/01/03 13:22] (current) – [Inpatient Floor or Consult Billing] admin
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   * Home or Residence Services   * Home or Residence Services
  
-==== Definitions==== +===== MDM Levels=====
-===New Patient === +
-A **new patient** is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years.+
  
 +==== Inpatient Floor or Consult Billing ====
 +=== Initial Encounter ===
 +^ Code   ^ Requirements, MDM                 ^ Requirements, Time                    ^
 +^ 99221  | straightforward or low level MDM  | if using time, must be >= 40 minutes  |
 +^ 99222  | moderate level MDM                | if using time, must be >= 55 minutes  |
 +^ 99223  | High level MDM                    | if using time, must be >= 75 minutes  |
 +
 +=== Subsequent Encounter ===
 +^ Code   ^ Requirements, MDM                 ^ Requirements, Time                    ^
 +^ 99231  | straightforward or low level MDM  | if using time, must be >= 25 minutes  |
 +^ 99232  | moderate level MDM                | if using time, must be >= 35 minutes  |
 +^ 99233  | High level MDM                    | if using time, must be >= 50 minutes  |
 +
 +===== Definitions=====
 +====New Patient ====
 +A new patient is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional 
 +  - of the exact same specialty and subspecialty who 
 +  - belongs to the same group practice
 +  - within the past three years.
 =====Tables ===== =====Tables =====
  
billing.1704199343.txt.gz · Last modified: 2024/01/02 12:42 by admin