AHA Coding Clinic® for ICD-9 - 1995 Second Quarter

Observation Status

The following statement was received from HCFA regarding observation status: When a patient is admitted as an inpatient following an outpatient observation status, the hospital must submit an inpatient bill which is properly coded. The hospital must apply the Uniform Hospital Discharge Data Set (UHDDS) guidelines in determining the principal diagnosis. The hospital must use the entire stay including the observation period to determine what occasioned the hospital admission. For coding purposes, the hospital should consider the admission to have occurred when the patient was admitted into the observation unit in determining the principal diagnosis. Note: The above information...

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