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Observation Code with PTCA/Stent

  1. Default Observation Code with PTCA/Stent
    Medical Coding Books
    Can some one let me know if we need to bill the initial opservation code 99218 if the patient is admitted for observation after PTCA/Stent & discharged the next day.

    The cardiologist is doing the PTCA & then admitting the patient overnight for observation. He is then discharging the patient next day, but I wanted to know if he should be billing for the initial observation also.

  2. #2
    Nashville AAPC Chapter
    The observation E/M is bundled to the procedure if done by the same MD, it's part of the global package - even if the global is (0) days. Unless, the patient is admitted for a totally different reason unrelated to the procedure performed.

  3. Default
    Ok. But can we bill the discharge CPT 99238? If the Doctor is discharging the patient the next day & does a discharge summary?

  4. #4
    Quote Originally Posted by peeya View Post
    Ok. But can we bill the discharge CPT 99238? If the Doctor is discharging the patient the next day & does a discharge summary?
    Yes, if the patient is discharged on the following calendar day you can bill for the discharge separately.

    Jessica CPC, CCC

  5. Default
    Thank you.

  6. #6
    99238 is an inpatient code.

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