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outpatient diagnostics then observation admission for complications

  1. #1
    Default outpatient diagnostics then observation admission for complications
    Clearnace Sale
    We had a patient that had an outpatient bronchoscopy (0 days global). In recovery the patient began having significant chest pain and was admitted for observation and then discharged the following day.

    Since the procedure was outpatient, can I bill the observation admission/discharge? If so, will I need to send two separate claims because the observation came after the procedure and modifiers 25 and 57 do not apply?


    Kara Hawes, CPC

  2. #2
    Milwaukee WI
    Default Modifier 25
    Actually the admission for observation was a significant, separately identifiable E/M service. Modifier 25.

    F Tessa Bartels, CPC, CEMC

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