Subsequent Boundary Example

Subsequent Means Aftercare Subsequent equates to aftercare treatment, and may be appropriate to code even when it’s the provider’s first time seeing the patient. For example, if the first time a provider sees the patient for the fracture is to continue post-treatment care, the initial visit is a subsequent fracture encounter.

Initial vs. Subsequent It’s been six years since the ICD-10-CM implementation, but many coders and providers still struggle with assigning the seventh character for initial and subsequent encounters. These 7 th characters identify two episodes of care that incur distinct management options and costs.

CPT ® 99231, Under Subsequent Hospital Inpatient or Observation Care The Current Procedural Terminology (CPT ®) code 99231 as maintained by American Medical Association, is a medical procedural code under the range - Subsequent Hospital Inpatient or Observation Care.

Subsequent Boundary Example 3

CPT® Code 99231 - Subsequent Hospital Inpatient or Observation ... - AAPC

Subsequent Boundary Example 4

Many injury codes in Chapter 19 of ICD-10-CM require a 7th character to identify the episode of care: initial, subsequent, or sequela.

Subsequent Boundary Example 5

The Current Procedural Terminology (CPT ®) code 99232 as maintained by American Medical Association, is a medical procedural code under the range - Subsequent Hospital Inpatient or Observation Care.

CPT® Code 99232 - Subsequent Hospital Inpatient or Observation ... - AAPC

The use of the initial vs subsequent vs sequela is not based on the encounter being the first encounter with the provider. It is based on the status of the injury. If the fracture was appropriately and definitively treated in the ER and your provider is following up on that care then you use the 7th character for subsequent even if this is a new patient encounter or you are seeing the patient ...