I'd ignore what the hospital coded and code the service the physician provided.
It seems clear that the hospitalist wanted the patient admitted for observation based on his/her documentation, so I'd code the appropriate level observation for day one.
I'm not sure from your note if the hospitalist SAW the patient on day 2.
If s/he did, I'd code 99217 as per documentation.
F Tessa Bartels, CPC, CEMC
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