AmyW_37223
New member
Hi -
The CPT book and Chapter 12 of the claims processing manual states for the face-to-face prolonged care codes that it must be done on the same date of service by the same provider that is billing the companion code.
However, for the non-face-to-face codes it does not clearly state that it needs to be done by the same provider. Is this because these are not add on codes?
The situation I am looking at right now is with 2 Hospitalists. Hospitalist A seen and billed for an initial hospital visit (99221) at 1am. Hospitalist B is billing for 99358 (non F2F prolonged care) at 9 am of the same day. Is this allowable?
Thank you in advance for your assistance.
The CPT book and Chapter 12 of the claims processing manual states for the face-to-face prolonged care codes that it must be done on the same date of service by the same provider that is billing the companion code.
However, for the non-face-to-face codes it does not clearly state that it needs to be done by the same provider. Is this because these are not add on codes?
The situation I am looking at right now is with 2 Hospitalists. Hospitalist A seen and billed for an initial hospital visit (99221) at 1am. Hospitalist B is billing for 99358 (non F2F prolonged care) at 9 am of the same day. Is this allowable?
Thank you in advance for your assistance.