Evaluation and Management (E/M) Services (December 2009)

December 2009 page 9a Bonus Feature: Evaluation and Management (E/M) Services Question: An inpatient was seen by the attending physician who performed and reported discharge services; but the patient was not discharged until the next day. In this instance, should a code from the hospital subsequent care series (codes 99231 - 99233 ) be reported for the actual day of discharge or the day when the physician rendered the discharge services? Ann Waters, RHIT, CCS Answer: The hospital discharge codes 99238 , Hospital discharge day management; 30 minutes or less , and 99239 , Hospital discharge day management; more than 30 minutes...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses a December 2009 CPT Assistant question and answer on evaluation and management services, focusing on inpatient hospital discharge reporting and documentation timing. It is useful for coders, billing staff, and physician practices that need to understand the general scope of hospital discharge-related E/M guidance and how the topic is addressed in a CPT Assistant format.

Why This Topic Matters

The article helps readers determine whether the content is relevant to inpatient E/M billing and discharge-day documentation issues. It also signals that the discussion is guidance-oriented rather than a full clinical or policy review.

Article Sections

  1. Bonus Feature: Evaluation and Management (E/M) Services

    A Q&A format discussion of inpatient hospital discharge service reporting within the broader E/M topic area. The section centers on timing and documentation considerations for discharge-related care.

What You Will Learn

  • The general focus of a CPT Assistant Q&A on inpatient E/M services
  • How the article frames hospital discharge reporting as a documentation and timing topic
  • What types of discharge-related guidance the article addresses at a high level
  • The relevance of the article to inpatient physician billing workflows

Who Should Read This

  • Medical coders
  • Billing staff
  • Physician practices
  • Hospital revenue cycle teams
  • Compliance professionals

Codes Discussed

Code Ranges Discussed


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