Observation Code with PTCA/Stent

peeya

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Can some one let me know if we need to bill the initial opservation code 99218 if the patient is admitted for observation after PTCA/Stent & discharged the next day.

The cardiologist is doing the PTCA & then admitting the patient overnight for observation. He is then discharging the patient next day, but I wanted to know if he should be billing for the initial observation also.
 

OCD_coder

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The observation E/M is bundled to the procedure if done by the same MD, it's part of the global package - even if the global is (0) days. Unless, the patient is admitted for a totally different reason unrelated to the procedure performed.
 

peeya

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Ok. But can we bill the discharge CPT 99238? If the Doctor is discharging the patient the next day & does a discharge summary?
 

Jess1125

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Ok. But can we bill the discharge CPT 99238? If the Doctor is discharging the patient the next day & does a discharge summary?
Yes, if the patient is discharged on the following calendar day you can bill for the discharge separately.

Jessica CPC, CCC
 
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