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Wiki Initial Observation Care

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Bedford, PA
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If all three key elements of the minimum initial observation code are not met, would you instead submit subsequent observation codes or outpatient office codes? (Ex: initial observation case is leveling out to History - EPF, Exam -EPF and MDM - Moderate). Being the lowest level is detailed/detailed/low, I'm not sure how to proceed. Any insight appreciated, thank you!
 
Initial observation care

Another coder told me to use subsequent observation codes in this case, but I can't find a reference, sorry. I think it makes sense since this is what we do for initial hospital visits.
 
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