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Same day admit/discharge

  1. #1
    Default Same day admit/discharge
    Medical Coding Books
    A physician within our hospitalist group admits a patient to observation. On the same day, the patient is being discharged by another physician not in our group. The hospitalist has already billed the Observation admission code 99218-99220. Can the discharging physician bill the observation discharge code 99217 even though it's same day admit/discharge?

    Tiffany Fischer, CPC, CEMC

  2. #2
    When you say "not in your group" are you saying that other physician is under a different tax id #?
    Evangelina Frohna, CPC, CEMC

  3. #3
    Default Same day admit/discharge
    I'm sorry. Yes, the physician is in a different Tax ID #.
    Tiffany Fischer, CPC, CEMC

  4. #4
    I would code the service that your provider performed, in your instance it is the initial observation code.

    I looked at the Chapter 12 Medicare Claims Processing Manual and the Observation section did not have a scenario similar to yours. However, if the other physician was in your same group, then you would want to report the Same Day Observation & Discharge code.

    I hope this helps?
    Evangelina Frohna, CPC, CEMC

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