tci E/M Coding Alert - 2015 Issue 4

Reader Question: Think Again When Reporting Same Date Admission and 99217

Question: A 69-year-old male patient came into our office this week with a mild acute episode of transient loss of consciousness. One of the doctors in our office performs a detailed history and examination with a medical decision making of straightforward complexity. She later admits the patient for observation care and treatment by the neurosurgeon. The patient responds to treatment and the admitting doctor discharges the patient on the following day. What should I report for discharge? Georgia Subscriber Answer: You should report 99217 (Observation care discharge day management) for the discharge day. With the nature of this patient&rsquo...

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