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Thread: Observation Coding - Does anybody have

  1. #1

    Default Observation Coding - Does anybody have

    AAPC: Back to School
    Does anybody have any tips for observation billing? I don'tm know where to begin? Like this question?

    Physician Orders:

    Admit to observation/tele
    DX: CP r/o MI
    Risk factors: hpl, htn, obesity- BMI 38.7
    NTG drip per protocol
    Labs/tests per protocol
    LR 150cc/hr
    Home meds as scheduled



    Lactated Ringers


    Nurses Notes
    1515: Pt arrived from clinic c/o chest pain. IV started in rt hand. Orders reviewed.

    1615: NTG infusing 0 complaints

    1745: NTG d/c per new orders; IV site patent, LR running

    1805: d/c orders received; IV d/c'd.
    Last edited by ank3t; 10-04-2016 at 05:04 AM.

  2. #2


    I'm anxious to hear this one too....

    = )

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Physician coding?

    I only code for physicians, so that's my area of expertise.

    And I don't see any evidence that the physician saw the patient at all. So I wouldn't bill anything for the physician.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Join Date
    Apr 2007
    Portland Metro


    Yeah, where's the exam? This just looks like Orders and a nursing log to me. If the provider is asking to bill for this, you should send them the requirements for the Obs codes out of your book. Either they send you this by mistake, or they are trying to find out if they can bill for orders.

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