Florida Subscriber
Answer: This service should be coded using observation/ inpatient codes 99234-99236, says Terry Fletcher, BS, CPC, CCS-P, a coding and reimbursement specialist in Dana Point, Calif. These codes were created in 1998 to reimburse physicians for admits and discharges that occur on the same calendar date. (HCFA now is proposing to change the calendar date requirement to any 24-hour period.) A formal dictated note for the admit and discharge needs to be part of the medical record, particularly because of the patients AMA status.