tci E/M Coding Alert - 2017 Issue 9

You Be the Coder: Choose the Right Code for This Office Visit

Question: The physician in an independent pediatric office has a patient with irregular pulse oximetry readings/hypoxia who came in for a follow-up visit. The patient has been previously hospitalized and discharged for pneumonia a few days earlier. The physician put the patient in "observation" status for four hours and checked her pulse ox multiple times throughout the visit. I considered reporting 99218, but these codes seem to be for hospitals only. Which code can I report? Michigan Subscriber Answer: You can only report E/M hospital observation services codes (99217-99226) and observation or inpatient care services codes (99234-99236) for patients...

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