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Thread: Observation Code with PTCA/Stent

  1. #1

    Default Observation Code with PTCA/Stent

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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. #3


    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
    Join Date
    Apr 2007
    Green Bay


    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. #5


    Thank you.

  6. #6
    Join Date
    Apr 2007


    99238 is an inpatient code.

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