Hospital Inpatient Visits/ Consultations

Hospital Inpatient Visits/ Consultations A. An initial hospital visit for the beneficiary’s attending physician is covered. A subsequent hospital visit by the attending physician is not covered on the same day as the initial visit. B. Inpatient hospital physician visits are limited to one (1) per day, per specialty. An exception is made when the patient is in an Intensive Care Unit (ICU) or Coronary Care Unit (CCU) where the limit is two (2) visits per day, per specialty. C. An initial inpatient consultation is covered for each consultant of a different specialty if the patient’s condition justifies the medical necessity for multiple consultations. Only one (1) initial consultation is allowed per beneficiary, per consultant, per admission. D. A subsequent hospital visit and a hospital discharge visit on the same date of service are not both covered; only the hospital discharge visit is a covered service.