tci ED Coding & Reimbursement Alert - 2003 Issue 4

Reader Question: Watch Those Observation Codes

Question: How should I bill the following scenario?: A patient was admitted to the ED at 8 p.m. and admitted to observation at 2 a.m. on the calendar date following the ED visit. The patient was discharged later on the second day. The same ED physician worked the shift from 6 p.m. the first day to 6 p.m. the second day. Arizona SubscriberAnswer: This is an uncommon scenario because of the observation care's timing. The patient comes to the ED very late at night, and then after midnight the physician realizes that the patient's...

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