Question Same TIN - 2 providers different specialties - how do you code for their separate observation E/M visits on same day?


Xenia, OH
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Ex: 1st provider - cardiologist visit to observation status patient, 2nd provider - gastroenterologist visit on same day? Neither provider is the attending. Am I interpreting the Medicare claims processing manual correctly? Would you code them using office/outpatient codes since they are not the attending?
30.6.8 - Payment for Hospital Observation Services and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Rev. 2282, Issued: 08-26-11, Effective: 01-01-11, Implementation: 11-28-11) A. Who May Bill Observation Care Codes

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.