Results 1 to 4 of 4

Inpatient and discharge

  1. #1
    Question Inpatient and discharge
    Exam Training Packages
    What would be the appropriate way to code a patient was admitted to the hospital by my doctor at 830 pm and by midnight was taking a turn for the worse and needed to be transfered out to a different hospital my doctor did a discharge for patient and she was transfered out by 230 am. What would be the correct way to code this and is there any references out there that would support what to code? I know the the CMS must be at least 8 hours but that is when the patient is discharged home? And with it going over 2 calendar days I am just confused?

  2. #2
    Default
    Quote Originally Posted by DSchrlau View Post
    What would be the appropriate way to code a patient was admitted to the hospital by my doctor at 830 pm and by midnight was taking a turn for the worse and needed to be transfered out to a different hospital my doctor did a discharge for patient and she was transfered out by 230 am. What would be the correct way to code this and is there any references out there that would support what to code? I know the the CMS must be at least 8 hours but that is when the patient is discharged home? And with it going over 2 calendar days I am just confused?
    Hi. A few questions, if I may. Under what status was your patient admitted as (Observation or Inpatient)? Did your physician see the patient face-to-face before midnight? Did he or she also see the patient past midnight prior to discharge/transfer?

    Thanks,
    Jettman

  3. #3
    Default
    The patient was admitted as an Inpatient. The physician was face-to-face before midnight and she had seen the patient prior to transfer after midnight.

  4. #4
    Default
    Quote Originally Posted by DSchrlau View Post
    The patient was admitted as an Inpatient. The physician was face-to-face before midnight and she had seen the patient prior to transfer after midnight.
    Thanks. Since the patient is an inpatient, I would code the before midnight encounter from the Inital Hospital Care codes 99221 - 99223. The after midnight encounter I would report as 99238 or 99239 (using the next calendar day as the date of service), as appropriate.

    Hope this helps,
    Jettman

Similar Threads

  1. Inpatient Discharge Question
    By Jody Mortensen in forum E/M
    Replies: 1
    Last Post: 10-09-2015, 06:18 PM
  2. Inpatient Consult Discharge
    By Triesen1 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-13-2015, 03:25 PM
  3. Help with inpatient discharge
    By maine4me in forum E/M
    Replies: 0
    Last Post: 02-05-2011, 01:29 PM
  4. when to bill an inpatient discharge
    By emkahu in forum E/M
    Replies: 2
    Last Post: 08-09-2010, 12:10 PM
  5. Inpatient sub care and discharge day
    By dovejsd in forum E/M
    Replies: 2
    Last Post: 09-17-2008, 11:03 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.