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Sub visits for pts in HOP

  1. Default Sub visits for pts in HOP
    Medical Coding Books
    My Drs see patients on a daily basis when they are in the hospital. The hospital is keeping patients in an observation status for up to 3 days I'm noticing. Of course my Drs are seeing them and indicating subsequent hospital visits, I realize I can't bill 9923_ due to the fact they are not inpatient. Can I bill 9921_? Or do we really have to eat these and chalk it up to good patient care and the hospital not discharging them.

    Anyone with this situation going on?

    Thanks!

  2. #2
    Default
    I would think you would use the 99212-99215 codes. They state "Office or other outpatient visit". This would be other.

    I do see this situation but not because the hospital did it, because the managed care made us keep them in obs instead of inpatient.

    Laura, CPC

  3. Default
    You would use the established outpatient visit codes.

    ~L
    CPC, CGSC, COSC

  4. #4
    Location
    Kachina Coders
    Posts
    53
    Default
    since the patient is outpatient status you would use the outpatient codes for the subsequent visits.
    Cynthia
    Mesa, AZ
    CPC

  5. #5
    Location
    Santa Rosa
    Posts
    64
    Talking
    I do this type of billing on a regular basis for our "Hospitalist" program and use an observation code the first day and 99212-99215 for the in between days and then a 99217 for the observation d/c day and have had no problems with Medicare as long as my status matches what the facility has the patient listed. Also, I have read this recommendation many times in other coding sources.
    Hope this helps. Feel free to ask questions any time.

  6. #6
    Question
    Quote Originally Posted by dentfam View Post
    I do this type of billing on a regular basis for our "Hospitalist" program and use an observation code the first day and 99212-99215 for the in between days and then a 99217 for the observation d/c day and have had no problems with Medicare as long as my status matches what the facility has the patient listed. Also, I have read this recommendation many times in other coding sources.
    Hope this helps. Feel free to ask questions any time.
    Curious????
    What would your place of service be?
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  7. #7
    Default
    Outpatient Hospital

  8. #8
    Smile
    Quote Originally Posted by ARCPC9491 View Post
    Outpatient Hospital
    Thanks.....
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

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