DecisionHealth, DecisionHealth - 2011 Issue 1 (January)

Subsequent observation codes will cut pay for initiating docs

You have to deal with three new codes for observation services in 2011, and their low pay combined with new CPT rules will result in less money - $14 to $68 less - when your providers initiate observation, experts tell Part B News. Providers who see patients in observation on a consulting basis will be less affected. The new codes are 99224-99226 (subsequent observation care, low, moderate and high severity respectively). Here's a brief rundown on how they fit into CPT 2011 rules for billing observation care.

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