Center to Advance Palliative Care

Thank you for your feedback. Because the palliative care doctor and the group of hospitalists bill under the same tax ID number, we use the V66.7 when billing for in-patient E/M codes along with the -77 modifier to avoid denials for duplicate days of service. It has reduced the denials but not eliminated them altogether. On a 1500, there is only room for 4 diagnoses and the V66.7 is the final code. I code mostly symptoms but sometimes code sequencing mandates that I use the same codes the attending will be using and then we appeal if one of the services gets denied. I've gone back to using 780.09 code for delirium even though I think the 293.0 is a more accurate and specific code for the condition. Thank you again for your responses.