Wiki OBV to Inpt

[Gemini18]

HELP -

I have a patient who was admitted on 1/10/2010 as an observation, her status was changed to inpatient on 1/11/2010. She was then admitted on 1/11/2010. What discharge code do I use?

 

[FTessaBartels]

Hasn't been discharged yet

You will NOT code a discharge from observation on 1-11-10.

When the patient is finally discharged from inpatient status you will use the appropriate Hospital Discharge Day Management code 99238-99239.

F Tessa Bartels, CPC, CEMC

 

[Gemini18]

You will NOT code a discharge from observation on 1-11-10.

When the patient is finally discharged from inpatient status you will use the appropriate Hospital Discharge Day Management code 99238-99239.

F Tessa Bartels, CPC, CEMC

THANKS Tessa -

The billing ticket I got says: 1/10/2010 (99220); 1/11/2010 (99222-25) and (99238).

I'm wondering why are the trying to bill an admit with a modifier and a discharge on the same day. Shouldn't it be 99220 for 1/10/2010 and a 99238 for 1/11/2010?

 

[FTessaBartels]

When was patient discharged?

Your original post does not mention that patient has been discharged ...

I'm confused ...

F Tessa Bartels, CPC, CEMC

 

[Gemini18]

Hi Tessa -

I APOLOGIZE, I didn't review my post before I hit send. The patient was admitted on 1/10/2010 as an OBV, her status was changed to INPT on 1/11/2010. She was also discharged on 1/11/2010.

 

[twosmek]

my opinion is that is should be 99220 for 1/10/10 and 99235 for 1/11/10 (observation or inpatient hospital care with admit and discharge on the same day) Hope that helps.