June 6, 2019
We are in a state that must report CPT code 99024 to Medicare for the defined procedures. I perform the surgical procedure but one of my partners rounds for me in the hospital. Is it appropriate for my partner to submit CPT code 99024 even though I did the surgery? I will always report this code in the office setting, but am wondering about the hospital rounds.
Great question and this is an area of risk. Medicare has mandated that affected practices report this code for all post-operative encounters but some groups are no remembering to report it for inpatient post-operative visits. We are happy that you know you have to report these visits on both the hospital and office encounters. To answer your question, the partner who rounds will submit the claim with CPT code 99024 with his/ her NPI as the billing provider.
*This response is based on the best information available as of 06/06/19.