admit discharge then admit to snu

cooper1

Guru
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Hi,

I have a pt who was admitted then discharged a few days later but the dr was discharging the pt from inpt hospital but admitting the pt to the skilled nursing unit then a few days later he discharges the pt from the skilled nursing unit to home. What codes would you use?

thanks

tracey
 

Lisa Bledsoe

True Blue
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Greeley, Colorado
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Use the appropriate level hospital discharge code (99238 - 99239) with modifier -25 and the apropriate level SNF admit code (99304 - 99306). If there are visits during the SNF stay, code the appropriate level for those (99307 - 99310). Upon SNF discharge, code the appropriate level discharge (99315 - 99316). Make sure to use the correct place of service codes for each.
 
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