Results 1 to 3 of 3

Subsequent Observation Codes

  1. #1
    Location
    Ellenville, New York
    Posts
    1,176
    Default Subsequent Observation Codes
    Exam Training Packages
    Does anyone know if the new subsequent observation codes (99224-99226) can be used for hospital claims/payments as well as for professional claims? Our hospitalists bill for these and the hospital's SBO is asking me if they can use these codes for payment as well.

    TYIA!

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  2. #2
    Location
    Kansas City, MO
    Posts
    431
    Default
    only the doc who "admitted" the patient into observation can use the subsequent observation codes. Any other providers would use out pt visit codes if seeing the same patient (99201-99215)

    I don't know what a SBO is...are you asking if the hospital can use these codes to bill for observation? Don't the bill by hours?
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Location
    Ellenville, New York
    Posts
    1,176
    Default Yes, it is for the hospital...
    and they are billing by the hour, but wanted to know if they can use the same CPT codes. And sorry, got caught up in our own little world of abbreviations. SBO is for System Business Office. The billing for all three hospitals in our system is in one centralized office - the "SBO."

    Thank you.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

Similar Threads

  1. Replies: 1
    Last Post: 03-12-2015, 05:34 PM
  2. Replies: 6
    Last Post: 01-05-2012, 08:56 AM
  3. Subsequent Observation
    By mosmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-15-2011, 09:36 PM
  4. Subsequent Observation Codes
    By tfrick2 in forum E/M
    Replies: 1
    Last Post: 07-08-2011, 04:17 PM
  5. Subsequent Observation visits
    By twobcas@yahoo.com in forum E/M
    Replies: 1
    Last Post: 07-02-2010, 10:53 AM

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?

Login

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.