Primary Care Coding Alert

CPT 2011:

Observation Codes 99224, 99225, 99226 Help Answer the 'Middle Day' Code Question

Expanded choices eliminate payer-to-payer coding variation.2011 brings a new coding option when reporting the middle day of observations that last longer than two days. Check out this expert advice on how CPT additions will affect your FP's observation care services coding starting on Jan. 1, 2011.New Codes Offer ClarityUntil this point, coding for the "middle days" of an observation service caused problems. Although not the norm, there are times when a physician admits a patient to observation and she remains in that status for three or more days. CPT 2011 addresses these middle days between admission and discharge by introducing three new E/M codes. The additions parallel the hospital subsequent care series in terms of component requirements and time frames: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 examination; [...]
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