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Dec 22nd, 2016 - raj2001md 1 

Hospice visit in hospital

this questioning this specifically to ask how to handle a patient who converts from an inpatient hospital stay to an inpatient hospice stay. The patient remains in the same hospital and even in the same room but their designation is changed over from inpatient to hospice


Patient is Admitted on Day 1 and stays in hospital for 5 days.
Doctor Bills as Following

Day1: 99223 - Level 3 Intial
Day 2 to 4: 99232 - Level 2 Subsq
Day 5: Discharge to inpatient hospice 99239 ?is discharge appropriate here
Day 6: with this day be a initial visit (99223) with GV modifier - or should this be billed as a subsequent 99232 with GV modifer

Patient expires on Day 8:

Hospital requires a new history and physical to be dictated and completed in the chart when the patient is converted from an inpatient stay to a hospice inpatient stay.

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