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observation-99217 and 99218

  1. Default observation-99217 and 99218
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    Hello,
    Can you tell me if codes 99217 and 99218-99220 can be used in conjunction. In the CPT guidelines on page 11 whwere it says do not report 99217 with hospital admission, is that referring to 99221-99223? I don't use these very often, so I am trying to understand the difference. The physician states, the patient is being admitted for observation, and the patient was discharged the next day. I am thinking to use the initial obeservation code 99218 since she is the supervising/admitting physician and also code 99217 for the discharge the next day.( this code states if the discharge is on other than the initial date of observation status. Please let me know. Thanks!:

    Thanks!

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    When a patient is admitted for observation care and then discharged on a different calendar date, the physician shall report Initial Observation Care, from CPT code range 99218 – 99220 and CPT observation care discharge CPT code 99217.

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

    30.6.8

  3. #3
    Location
    Kachina Coders
    Posts
    53
    Default
    the only time you can not use code 99217 is with codes 99234, 99235, 99236. For OBS that is.
    Cynthia
    Mesa, AZ
    CPC

  4. #4
    Default
    If observation is longer than 48 hours, you use intial observation code for the first day, an established patient office visit or other outpaitent service codes, for the second day, and observation discharge code for the third day.

  5. Default
    can you bill 99217 for a follow up visit when a patient is coming to be seen in your office after a discharge from hospital? if not, what is the proper E&M code to bill for a hospital follow up visit?

  6. #6
    Location
    Milwaukee WI
    Posts
    4,466
    Default NO
    Quote Originally Posted by UBRANA View Post
    can you bill 99217 for a follow up visit when a patient is coming to be seen in your office after a discharge from hospital? if not, what is the proper E&M code to bill for a hospital follow up visit?
    Observation codes are used for patient placed in observation status in a hospital setting.

    If patient is seen in the office use outpatient E/M codes UNLESS the patient is under a global surgical package.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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