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Thread: Outpaient vs Observation

  1. #1

    Question Outpaient vs Observation

    AAPC: Back to School
    Would anyone bill a 99212-99215 instead of observation codes for hospital visits. The hospital reports says outpatient instead of observation.

  2. #2
    Join Date
    Apr 2007
    Greenville, SC


    I would think it would depend on the documentation. It would be rare for an outpatient hospital to be just that outpatient...unless it is one of those circumstances where you have a hosptial owned outpatient clinic.

  3. #3
    Join Date
    Apr 2007
    Hartford, CT


    Depends on who placed the patient in observation status. The observation codes are for the attending physician to use, others who see the patient would use the outpatient codes. If the patient is NOT a medicare patient the intial visit can be coded as an outpatient consult IF it meets the definition for consults

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