tci General Surgery Coding Alert - 2006 Issue 1

READER QUESTIONS: Stick With 99218-99220 for 8 Hours or Fewer

Question: We have a long-standing argument in our office regarding the proper use of observation codes. Specifically, when should we report initial observation (99218-99220) with discharge (99217) versus observation or inpatient care (99234-99236)? What if the surgeon admits a patient to observation at 9 p.m. and releases her the next day at 1 a.m.?New York Subscriber Answer: Three main rules govern observation coding:1. You should report 99218-99220 with 99217 if the physician admits the patient to observation and releases her on a different date of service, unless the total duration of observation stay equals fewer than...

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