tci ED Coding & Reimbursement Alert - 2008 Issue 4

Let Length of Service Guide Your Observation Code Choice

8-hour mark is crucial for Medicare patients When your ED physician performs observation services, the code choice will depend on the number of days (or hours) the patient remains in observation. And once you arrive at the proper code, you-ll have to make sure the supporting documentation is in order before sending the claim off. You also need to make sure that the ED physician is actually providing the patient observation services before coding; often, what appears to be an observation is actually an ED E/M service. Check out this primer on coding the different types of observation services...

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