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Thread: Observation more than 2 dys

  1. #1
    Join Date
    Apr 2007
    Naples Florida

    Smile Observation more than 2 dys

    AAPC: Back to School
    which codes would be used for a observation status when the patient is in for more than 2 days Like 4? I understand how to code the initial day and the discharge day, but what about days inbetween?



  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    99212-99215 would be used for the days between obs admit and obs dc.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007
    Naples Florida


    Thanks so much! Where can I get the documentation to show my doctor which supports this. I could not find it in the CPT guidelines.

  4. #4
    Join Date
    Apr 2007

  5. #5
    Join Date
    Apr 2007
    North Carolina


    In the rare circumstance when a patient is held in observation status for more than 2 calendar dates, the physician shall bill a visit furnished before the discharge date using the outpatient/office visit codes. The physician may not use the subsequent hospital care codes since the patient is not an inpatient of the hospital.


    30.6.8. B

    (Oops--Looks like Laura and I were doing this at the same time)

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