carol ann
Networker
Needing some assistance on billing E&M for inpatients. If patient is in Obs and goes to Acute same day, can a Discharge E&M be billed and a H&P?
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Wiki Looking for guidance on billing E&M for inpatients
- Thread starter carol ann
- Start date
Pathos
True Blue
If the patient is "admitted" to Observation, then admitted per normal and later Discharge all on the same day, then you should be looking at 99234-99236 codes for "Observation/Inpatient and Discharge same day" codes.
"When a patient receives observation care for a minimum of 8 hours, but less than 24
hours, and is discharged on the same calendar date, Observation or Inpatient Care
Services (Including Admission and Discharge Services) from CPT code range 99234 -
99236 shall be reported. The observation discharge, CPT code 99217, cannot also be
reported for this scenario"
Source:
CMS Claims Processing Manual 12 30.6.8.B
"When a patient receives observation care for a minimum of 8 hours, but less than 24
hours, and is discharged on the same calendar date, Observation or Inpatient Care
Services (Including Admission and Discharge Services) from CPT code range 99234 -
99236 shall be reported. The observation discharge, CPT code 99217, cannot also be
reported for this scenario"
Source:
CMS Claims Processing Manual 12 30.6.8.B
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