tci General Surgery Coding Alert - 2004 Issue 7

Earning $75-$100 per Hospital Discharge Is as Easy as A, B, C

Don't let poor documentation sink your 99238/99239 claims You needn't give up the $75 to $100 that payers allocate for hospital discharge services, but you must document the face-to-face time the surgeon spends with the patient. Take note: If the surgeon performs surgery and discharges the patient during a global surgical period, he cannot report hospital discharge codes (99238, Hospital discharge day management; 30 minutes or less; or 99239, ... more than 30 minutes). But, if the patient is admitted to the hospital and the surgeon does not perform surgery, you can normally report a discharge. Physicians should report discharge...

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