tci E/M Coding Alert - 2019 Issue Q4

Reader Question: Observe the Rules to Bill the Right Inpatient E/M

Question: Our pulmonologist admitted a patient to the hospital at 11:30 a.m. A different pulmonologist, also from our practice, discharged the patient at 4:30 p.m. The admitting physician wants to bill an inpatient code, while the discharging physician wants to bill an observation code. Which is correct? Oregon Subscriber Answer: The answer here depends on a number of factors, including whether the patient was admitted as an inpatient or for observation, and the length of time the patient spent during the stay. You could report a patient admitted and discharged by physicians in this scenario with 99234-99236...

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