AAPC - Back to school
Results 1 to 4 of 4

Thread: Please help!! Outpatient Observation CPTs

  1. #1
    Join Date
    Apr 2007
    Casper, WY

    Question Please help!! Outpatient Observation CPTs

    AAPC: Back to School
    I am not that familiar with observation codes so, I could really use some help! I am trying to select the appropriate CPT for a patient who was 'admitted to outpatient observation' on 7/2/09 and then, seen by my doctor on 7/3/09 before she was discharged home. My doctor is not the admitting or attending physician; he is a physician who had been consulted on 7/2/09 and now came back on 7/3/09 for a follow-up exam. So, which CPTs should I choose from? 99218-99220??; 99217??; or something else entirely?? My doctor had written down 99231.....but, this code is for inpatients.....

    Please help me so that I can try & explain it to my physician.

    Thank you!

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    If he was following up to his consult on 7/2, the code for 7/3 would be 99212-99215; unless he actually did the discharge, which would then be 99217.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007
    Casper, WY


    I don't see anywhere in the description of the E/M codes 99212-99215 that these can be used for outpatient observation services. Can you please help me find this because my physician requires something in writing when I bring a correction to him.

    Thanks so much!!

  4. #4
    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.



Similar Threads

  1. Observation vs. Outpatient
    By karey in forum Hematology/Oncology
    Replies: 3
    Last Post: 01-10-2013, 07:37 AM
  2. Observation vs. Outpatient
    By karey in forum Outpatient Facilities
    Replies: 3
    Last Post: 01-10-2013, 06:49 AM
  3. Observation vs. Outpatient
    By karey in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-09-2013, 11:38 AM
  4. Observation vs. Outpatient Help!!!
    By alasley in forum E/M
    Replies: 1
    Last Post: 08-09-2012, 08:29 PM
  5. new observation cpts for 2011
    By Jakkia in forum E/M
    Replies: 2
    Last Post: 05-03-2011, 09:50 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.