tci ED Coding & Reimbursement Alert - 2006 Issue 11

Reader Questions: Choose 1 Code for Multiple Observations

Question: I have an op report in front of me that indicates two of our group's physicians provided observation services for the same patient on the same day. Physician One performed a level-two observation in the morning, and Physician Two performed a level-three observation later that afternoon. Can I report both observations?Indiana Subscriber Answer: No, you cannot. When a pair of doctors in the same ED group provide observation service to the same patient, you-ll have to choose one code. In this instance, you-re probably best served to report the higher-level observation for Physician Two. On the claim...

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