AHA Coding Clinic® for ICD-9 - 2003 First Quarter
Observation Status Following Same Day Surgery
The following advice supercedes that provided in Coding Clinic, Second Quarter 1995, page 13. Numerous questions have been received regarding how to code the reason for the outpatient encounter when a patient has scheduled outpatient surgery at a hospital and then is admitted to the hospital's observation unit prior to being discharged home. The following guidance is provided on how to code the combined encounter. When a patient is seen for planned outpatient surgery at a hospital, code the reason for the surgery as the first reported diagnosis (reason for the encounter). Should the patient develop complications during the...
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