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Outpatient coding refers to a detailed diagnosis report in which the patient is generally treated in one visit, whereas an inpatient coding system is used to report a patients diagnosis and services based on his duration of stay.
The three main coding systems used in the outpatient facility setting are ICD-10-CM, CPT, and HCPCS Level II. These are often referred to as code sets.
The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service with the patient and his/her attending physician.
Outpatient coding comprises most of the coding performed in the healthcare industry. All coding for doctors offices, clinics, outpatient and ambulatory care facilities, hospital emergency rooms, etc. is classified as outpatient coding.
non-Medicare patients are considered outpatients until they are admitted to the hospital, and therefore the outpatient consultation codes are reported (9924199245).
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In short, outpatient coding is less complex than inpatient coding, but not necessarily easier.
Selection of first-listed condition. List first the ICD-10-CM code for the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the service provided. In the outpatient setting, the term first-listed diagnosis is used in lieu of principal diagnosis.
CPT Code - Office or Other Outpatient Services 99202-99215 - Codify by AAPC.

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