skreimborg
Contributor
Can anyone help with this scenario? Medicare patient in observation area of the hospital facility for 2 nights and discharged on the third day. The provider coded a 99219 for the initial visit, and then a 99225 on the second day and finally a 99217 on the date of discharge. Medicare denies saying treatment was rendered in an inappropriate or invalid place of service. Do you think it's because on the intital dos (before being in observation) the patient presented in the ER ? Should the intital code be a 99221 or 99222 because the ER and obsesrvation services should not be billed separately? Any thoughts are appreciated.
Sally Kreimborg, CPC
Dallas Central Chapter
Sally Kreimborg, CPC
Dallas Central Chapter