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Thread: obsv admit/discharge same day, different physician

  1. #1

    Question obsv admit/discharge same day, different physician

    AAPC: Back to School
    Need help....
    Here is the scenario:
    One doctor admits patient to observation, different doctor discharges patient from observation - all in same day and would use codes 99234-99236.

    However, if these doctors are from different practices, would each doctor then use the appropriate code from the 99234-99236 series and append modifier 52 for reduced services?

    Any help or direction would be great!
    Thanks in advance.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Different practices

    If they are from different practices then Dr A would code the admission to observation 99218 to 99220; Dr B would code the observation care DC 99217.

    But WHY would this happen? Two different practices? My brain just can't come up with a scenario where this would happen.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Portland Metro


    If might happen if a hospitalist admitted the patient and then turned the care over to a specialist, and vis-versa-- ie, surgeon gets a call for an acute abdomen to rule-out appendix, decides it's gastritis and signs off.

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