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Thread: outpatient diagnostics then observation admission for complications

  1. #1

    Default outpatient diagnostics then observation admission for complications

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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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