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Wiki Observation more than 2 dys

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espforu

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which codes would be used for a observation status when the patient is in for more than 2 days Like 4? I understand how to code the initial day and the discharge day, but what about days inbetween?

Thanks,

Kim:)
 
Thanks so much! Where can I get the documentation to show my doctor which supports this. I could not find it in the CPT guidelines.
 
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. B

(Oops--Looks like Laura and I were doing this at the same time)
 
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