Billing Discharge Summary

[kim.powell42@yahoo.com]

Can you bill for a Discharge Summary for PHP patients that have been discharged from the program and if so what would we use?

 

[thomas7331]

You may need to look at specific payer guidelines for this, but my suspicion is that since PHP is not consider either inpatient or observation status, a discharge code would probably be inappropriate and would likely be denied. I would recommend using a standard E&M service code based on the location where the service took place (e.g. office or other outpatient E&M).

 

[kim.powell42@yahoo.com]

Thanks, that's what I was thinking but needed someone with more experience to confirm.