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Issue Number - Name
0040 - Hospital Discharge Day Management Service
Review Type
Automated
Claim Type
Physician, Professional Services
Region and State
RAC 1-4
All States
Date Approved
2017-03-09

Description

Only one hospital discharge day management service is payable per patient per hospital stay. Only the attending physician of record reports the discharge day management service.

Affected Codes

  • CPT Codes 99238-99239

Applicable Policy References 

  • Social Security Act, Section 1833 (e)
  • CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 12, 30.6.9.2