Why is the hospital changing the status? Don't the doctor's order count for anything?
If the physician provided an initial hospital visit with a clear plan to "admit" the patient as an inpatient, I don't see how the hospital can decide it's outpatient.
If the patient is, in fact, having an outpatient procedure, then you would code either the office visit with your decision for surgery modifier. Or, you might code the admit to observation with a -57 modifier.
It's hard to give a definitive answer without seeing all the documentation.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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