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Observation Code Clarification

  1. #1
    Default Observation Code Clarification
    Medical Coding Books
    Good Day Everyone

    Can Observation Status extend more than one day in a hospitalist setup. If this being the case, can I bill 99217 as discharge code using POS 22 (Outpatient).

    Also when I bill 99234 along with 99220 on the same day, what is the Place of Service to be billed in above scenario.

    We are looking into a new client and they are insisting on we bill as OP Visits all these cases, so just wanted to make sure that it is as per compliance.



  2. #2
    Greeley, Colorado
    Observation is usually 23 hours (or less) 99218-99220 admit day and 99217 the next day. If the patient is admitted and discharged on the same DATE, use 99234-99236. POS = 22.

    You can't bill 99220 with 99234. 99234 includes admit and discharge same day. POS can be 21 or 22.

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