tci ED Coding & Reimbursement Alert - 2016 Issue 8

Reader Question: Choose Only One Code for Multiple Observation Providers on the Same Day

Question: I have a question on a chart that indicates two of our emergency physicians provided observation services for the same patient on the same day. The first documents a high complexity observation service in the morning, and the second performed a moderate complexity observation service later that afternoon before discharging him home. Can I report both observation encounters? Iowa Subscriber Answer: No, you can’t report both. Observation services are reported by the day, which includes the full calendar day. When doctors in the same ED group provide observation services to the same patient, they are deemed to...

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