tci ED Coding & Reimbursement Alert - 2012 Issue 7
Reader Question: Be Observant In Assigning Codes For Services Crossing Midnight
Question: For observation time for professional services, do you use the 99218-99220 series if the patient presents at 10:00 p.m. to the ED and is assigned to observation at 3:00 a.m. with a discharge at 12:30 pm? Or, do you default to a level of service?Virginia SubscriberAnswer: CPT® is clear that when observation services are initiated in the course of another E/M encounter by the same provider on the same date, you should include the work associated with the decision to admit to observation in the observation code reported. In this case, the patient is first...
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