Ob-Gyn Coding Alert

CPT 2011:

99224, 99225, 99226 Solve 'Middle Day' Code Dilemma

Observation services expansion eliminates payer coding variation.In 2011, coders will have a new option when reporting the middle day of observations that last longer than normal.Check out this expert advice on how CPT additions will affect your ob-gyn's observation care services coding starting on Jan. 1, 2011.New Codes Offer ClarityBefore 2011, coding for the "middle days" of an observation service was a problem. Although not the norm, there are situations where a patient is admitted to observation and remains in that status for three or more days. The CPT 2011 E/M section addresses these middle days with new codes. The three new codes parallel the hospital subsequent care series in terms of component requirements and time frames. The new codes include:99224 -- Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more