Wiki Initial Observation Services

[Pgomez76]

Hello All,

I was wondering if someone could tell me; I would like to know if anyone knows where in the CPT or anywhere it states that when coding for Intial observation services if the patient has been there more than 48 hours to code from the Office visit codes 99212-99215? I would really appreciate your help.

 

[RebeccaWoodward*]

In the rare circumstance when a patient is held in observation status for more than 2 calendar dates, the physician shall bill a visit furnished before the discharge date using the outpatient/office visit codes. The physician may not use the subsequent hospital care codes since the patient is not an inpatient of the hospital.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

30.6.8. C

 

[Pgomez76]

Thanks

Thanks I really appreciate your help.