SSThomas03
Contributor
Has anyone received a documentation review similar to the one below? If so, what were the steps you took to resolve the issue? The claim was submitted with CPT code(s) 99219-57 and 44970 with POS 22. Ironically, code 44970 was paid.
"Not supported. The submitted medical records do not indicate that the patient is designated or admitted as observation status. A designation of observation status is required to support this code."
"Not supported. The submitted medical records do not indicate that the patient is designated or admitted as observation status. A designation of observation status is required to support this code."
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