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OBS coding

  1. Default OBS coding
    Medical Coding Books
    Patient presented to ER w/ Chest pain. Internal Med. MD on call was consulted via phone and determined to admit pt to OBS. This was 7-16-09 @ 23:28.

    IM MD did not physically examine patient until 7-17 @ 17:00 at which time he dictated an H&P and D/C note all in one.

    PT was discharged 7-17 @ 19:25.

    Do I bill obs/ discharge for the 17th even though pt was physically admitted to obs the 16th?
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 99234-99236
    The services of admission and discharge were performed on the same date of service (7-17-09). Makes no difference when the hospital admitted / discharged the patient ... the key is when the PHYSICIAN performed the service.

    Code using 99234-99236 depending on documentation.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default
    thanks. That is what I thought, but had a moment of self doubt!
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

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