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Discharge Services

  1. #1
    Location
    Daytona Beach, FL
    Posts
    752
    Red face Discharge Services
    Medical Coding Books
    I just started auditing the Hospitalists charges for our hospital and I need some guidance. Since Discharge services are time based, does the documentation that the doc does have to state somewhere the total time spent on the discharge? Wouldn't that be needed to code? None of these docs have documented time in there reports but have chosen the 99239 over the 99238.

    Any help would be great!

    Jodi Dibble, CPC

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 99239
    In order to code 99239 Hospital Discharge Day Management, more than 30 minutes - the documentation MUST include time of 31 minutes or longer.

    If no time is listed the most you can code is 99238.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Daytona Beach, FL
    Posts
    752
    Default
    Thanks for your help!

  4. #4
    Default
    Tessa,
    I have looked specifically for that in writing by my local carrier and CMS. No where is that documented. In the CPT book it does not state that it "must" include time, like it does about critical care coding. Yes it is implied but I need to be able to show this in black and white. Do you have it?
    adrianne, cpc

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