Wiki Hospitalist Coding in ER

dentfam

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I have a question to see how you guys would code this situation.

Patient is listed in the hospital system as an emergency room patient. Patient stayed as such overnight.
Pt was not admitted to IP or listed as observation, just ER.

Our Hospitalist(not part of hospital) saw the patient and dictated a History and Physical.
Would you code it as an observation 99219 1st day and 99217 the 2nd day?
Or would you do 2 outpatient codes from 9920X-9921X?
Or would you just ignore the hospitalʼs listed status and code for an admission?
At the end of the H&P dictation it says admit patient to telemetry(observation).
HELP??
 
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