Wiki admit discharge then admit to snu

[cooper1]

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]

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.