Results 1 to 2 of 2

Subsequent observations

  1. Question Subsequent observations
    Medical Coding Books
    Can anyone clarify on subsequent care codes for observation. If the documentation requirements fo an admit code or observation code are not met then a subsequent observation code may be used in it's place ?? Is this correct. I feel as though I have received incorrect advice on this. From what I can tell subsequent observation codes may only be used on the second day of observation and may not be used on the initial date of admit to observation. Thank You

  2. #2
    Kansas City, MO
    I can't find anything specific to observation care, but our medicare carrier has said that if the documentation for an initial inpatient visit (admit) doesn't meet requirements, then it is ok to bill a subsequent inpatient visit.

    I am guessing the same logic would apply to the observation scenario.

    They do say this should be a rare thing though....the doctor should be documenting properly for the admits

    Hopefully someone will come through with something more concrete.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

Similar Threads

  1. Subsequent Visits
    By penswhitex in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 03-06-2015, 07:31 AM
  2. subsequent visit
    By Lynda Wetter in forum Medicare Regulations
    Replies: 2
    Last Post: 12-03-2014, 12:59 PM
  3. Subsequent Observation
    By mosmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-15-2011, 08:36 PM
  4. School Observations
    By redettes in forum Behavioral Health
    Replies: 2
    Last Post: 01-26-2010, 02:06 PM
  5. observations vs. admission
    By rcclary in forum E/M
    Replies: 2
    Last Post: 06-08-2009, 01:26 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.