A physician provides a subsequent hospital inpatient visit with straightforward medical decision making. Which CCS-P coding focus is correct?
Select an answer to reveal the explanation.
Short Explanation
Day-two bedside check with light MDM is a subsequent hospital professional visit—not the hospital’s DRG and not an office ‘new patient’ sticker. Level it with MDM or time in the subsequent hospital family. Save discharge codes for actual discharge work.
Full Explanation
Subsequent hospital inpatient (or combined inpatient/observation) professional E/M codes are leveled by MDM or time. Straightforward MDM supports the corresponding lower subsequent level when MDM is used. DRG assignment is a facility reimbursement construct and is not reported as the physician’s E/M. Office new-patient codes and discharge-day management require different encounter circumstances.