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E/M question about places of service...

  1. Default E/M question about places of service...
    Medical Coding Books
    As i'm studying these e/m guidelines, I feel as if the pattern is that the e/m service code to use depends on where the patient ENDED up. For example, if the patient has an OUTPATIENT encounter, but ends up in "OBSERVATION STATUS" then the code from INITIAL OBSERVATION STATUS section is used.

    However, if they are in OBSERVATION STATUS, and then are ADMITTED, then an INITIAL HOSPITAL CARE code is used.

    Is this correct. Is the correct code to be used, dependant on where they were finally seen before discharge? Thank you.
    Adam L. Shoop CPC
    You will be successful in whatever you choose to do,
    and light will shine on the path ahead of you. Job 22:28

    Only because of God, my father, and Jesus Christ,
    did I make it into this field so smoothly. Thank you God!

  2. #2
    Default observation
    Yes. Just be sure your looking at the "time guidelines" for observation when determining which code to use.

  3. Default
    Quote Originally Posted by tinagirl1967 View Post
    Yes. Just be sure your looking at the "time guidelines" for observation when determining which code to use.

    Thank you so very much for that! Is time a determining factor when choosing a consultation level of service, rather than the key components?
    Adam L. Shoop CPC
    You will be successful in whatever you choose to do,
    and light will shine on the path ahead of you. Job 22:28

    Only because of God, my father, and Jesus Christ,
    did I make it into this field so smoothly. Thank you God!

  4. #4
    Location
    Ellenville, New York
    Posts
    1,177
    Default Tiiime is on my side...
    For consultations as well as office visits and hospital inpatient visits, etc. ensure that total time is documented and that 50% or more of that total time was spent on counseling or coordination of care. See the CPT guidelines for more information.

    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

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