AAPC - Back to school
Results 1 to 3 of 3

Thread: Admit discharge same day

  1. #1

    Talking Admit discharge same day

    AAPC: Back to School
    Hey need some help with this scenario

    Child admitted thru ER over the phone by Dr 4/9/11. Dr sees patient 4/10/11 dictates H&P sees patient and examines and later in the evening discharges patient 4/10/11.

    Formal admit day listed by hospital as 4/9. Dr wants to bill 99234 (Admit discharge same day).

    I am getting conflicting opinions, what do you fellow coders think?

    Thanks in advance,

    Jill O, CPC

  2. #2
    Join Date
    Apr 2007
    Reading, PA


    Was there an order to place into observation? Also, was the patient there for more than 8 hours? If so you bill the 234. If there is an obs order, but less than 8 hrs from admit to d/c, only do the obs admit. If the patient was there into the next day, you bill the obs admit and obs d/c the next day. If no obs order, have to charge an outpatient visit.

  3. #3
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    There was no face-to-face on the 9th. I'd bill the admit/discharge same day code, if patient was admitted >8 hours. If not, just the Initial inpatient/obs code (depending on patient's admission status).
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. same day admit/discharge
    By karenpez in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-01-2014, 10:37 AM
  2. Admit/Discharge Same Day
    By brookeborne in forum E/M
    Replies: 2
    Last Post: 05-31-2013, 06:03 AM
  3. same day admit and discharge
    By abhishekrane32@yahoo.com in forum E/M
    Replies: 0
    Last Post: 09-04-2012, 09:10 PM
  4. Admit/Discharge on the same day
    By Gemini18 in forum E/M
    Replies: 4
    Last Post: 10-09-2009, 06:41 AM
  5. Discharge and re-admit same day
    By Lisa Bledsoe in forum Pediatrics
    Replies: 0
    Last Post: 04-29-2008, 04:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.