Observation status

kmcafee

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Ok, I have a patient that my doc saw who was observation and not being supervised by my doc, she was called in as a consultant. In that case it instructs in CPT book to use codes 99241 thru 99245, but she is Medicare and she is not admitted so I can't use initial hosp care codes, sooooo what do I use???:eek:
 

RebeccaWoodward*

True Blue
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North Carolina
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Payment for an initial observation care code is for all the care rendered by the ordering physician on the date the patient's observation services began. All other physicians who furnish consultations or additional evaluations or services while the patient is receiving hospital outpatient observation services must bill the appropriate outpatient service codes.

For example, if an internist orders observation services and asks another physician to additionally evaluate the patient, only the internist may bill the initial observation care code. The other physician who evaluates the patient must bill the new or established office or other outpatient visit codes as appropriate.

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

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