Results 1 to 3 of 3

Observation Status

  1. #1
    Location
    Richardson, TX
    Posts
    94
    Default Observation Status
    Medical Coding Books
    Hello. I have a question regarding Observation Status at hospitals.
    A patient comes to the ER and is placed into an "Observation" status. Our physician is then called in for a consult and may or may not perform surgery on the patient. The patient is then later discharged from the facility.
    In this case, using initial observation codes 99218-99220 would be used, correct? Then the subsequent visits would be 99224-99226, correct?
    Thanks!
    Matthew S., CPC

  2. #2
    Default
    Who is admitting the patient to observation? Only the admitting provider can bill the initial obs codes. Other providers will need to use the outpatient office codes (99201-99205, 99212-99215) unless the patient's insurance allows consult codes still.

  3. #3
    Location
    Richardson, TX
    Posts
    94
    Default
    Quote Originally Posted by sctaylor View Post
    Who is admitting the patient to observation? Only the admitting provider can bill the initial obs codes. Other providers will need to use the outpatient office codes (99201-99205, 99212-99215) unless the patient's insurance allows consult codes still.
    Another physician is admitting the patient.
    Matthew S., CPC

Similar Threads

  1. Replies: 0
    Last Post: 06-15-2012, 09:29 AM
  2. From ER to Observation status
    By pvang in forum Emergency Department
    Replies: 2
    Last Post: 01-04-2011, 10:25 AM
  3. Observation status
    By kmcafee in forum E/M
    Replies: 2
    Last Post: 08-31-2010, 10:52 AM
  4. Observation Status-Orthopedic surgeon
    By lmsnyfla in forum E/M
    Replies: 2
    Last Post: 02-04-2010, 07:36 AM
  5. Observation Status
    By dsmith06351 in forum E/M
    Replies: 1
    Last Post: 08-07-2009, 11:57 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.