Wiki Inpatient Coding

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GSCoder07

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This may seem like an elementary coding question but I'm not an inpatient coder so I need some guidance. I have a physician who admitted a patient in observation on 08/27/14 (at 10 pm) but his H & P is dated 08/28/14. He discharged the patient on 08/28/14. Which date should I go by, the 27th (even though his notes are from the 28th) or bill an observation admit/discharge for the 28th?
I'm so confused!! :confused:
Any help would be greatly appreciated!!
 
you will bill out the DOS that he actually did the consult on the patient on. The header area on his consult note should also reflect the correct DOS. If it does not then the dr needs to be informed. If he admitted and discharged the pt on the same date, that would be a totally different CPT code.
 
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