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OBV to Inpt

  1. #1
    Default OBV to Inpt
    Medical Coding Books
    HELP -

    I have a patient who was admitted on 1/10/2010 as an observation, her status was changed to inpatient on 1/11/2010. She was then admitted on 1/11/2010. What discharge code do I use?
    Karen, CPC
    Physician Chart Auditor

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Hasn't been discharged yet
    You will NOT code a discharge from observation on 1-11-10.

    When the patient is finally discharged from inpatient status you will use the appropriate Hospital Discharge Day Management code 99238-99239.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    Quote Originally Posted by FTessaBartels View Post
    You will NOT code a discharge from observation on 1-11-10.

    When the patient is finally discharged from inpatient status you will use the appropriate Hospital Discharge Day Management code 99238-99239.

    F Tessa Bartels, CPC, CEMC
    THANKS Tessa -

    The billing ticket I got says: 1/10/2010 (99220); 1/11/2010 (99222-25) and (99238).

    I'm wondering why are the trying to bill an admit with a modifier and a discharge on the same day. Shouldn't it be 99220 for 1/10/2010 and a 99238 for 1/11/2010?
    Karen, CPC
    Physician Chart Auditor

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default When was patient discharged?
    Your original post does not mention that patient has been discharged ...

    I'm confused ...

    F Tessa Bartels, CPC, CEMC

  5. #5
    Default
    Hi Tessa -

    I APOLOGIZE, I didn't review my post before I hit send. The patient was admitted on 1/10/2010 as an OBV, her status was changed to INPT on 1/11/2010. She was also discharged on 1/11/2010.
    Karen, CPC
    Physician Chart Auditor

  6. #6
    Default
    my opinion is that is should be 99220 for 1/10/10 and 99235 for 1/11/10 (observation or inpatient hospital care with admit and discharge on the same day) Hope that helps.
    Tina Wosmek CPC, COSC

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