AMA CPT® Assistant - 2006 Issue 1 (January)

Evaluation and Management Services: Hospital Observation Services (January 2006)

January 2006 page 46a Hospital Observation Services, 99499 (Q&A) Question If a patient is in observation status for 3 days, what is the appropriate code to report for the second day of his or her observation stay? AMA Comment From a CPT coding perspective, code 99499, Unlisted evaluation and management service, should be reported. Third-party payer should be consulted because they may have policies that govern reporting of these services. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, the procedure report) with the claim to provide...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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