AMA CPT® Assistant - 2015 Issue 12 (December)
Bonus Edition: Frequently Asked Questions (Bonus Q&A) (December 2015)
December 2015 page 18 Bonus Edition: Frequently Asked Questions Evaluation and Management: Hospital Inpatient Services Question: What is the appropriate Current Procedural Terminology (CPT®) code to report, if the physician sees a patient in the observation unit on a given date and the patient is subsequently admitted to the hospital on that date? Answer: When the patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (eg, hospital emergency department, observation status in a hospital, office, nursing facility) all evaluation and management services provided by that physician in...
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Article Overview
This December 2015 FAQ from CPT Assistant focuses on hospital inpatient evaluation and management reporting in a specific admission scenario involving care provided in another site of service before inpatient admission. It is relevant to physicians, coders, and billing professionals who work with hospital care documentation and CPT reporting. The article provides guidance on how the encounter is categorized at a high level and discusses related initial hospital care reporting.
Why This Topic Matters
Hospital admission timing can affect how evaluation and management services are reported, so this guidance helps readers understand the scope of physician services that may be included in the admission-related record.
Article Sections
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December 2015 page 18
Issue/date placement for the FAQ content.
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Bonus Edition: Frequently Asked Questions
Introductory heading for the Q&A section.
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Evaluation and Management: Hospital Inpatient Services
The article’s subject area, centered on hospital inpatient evaluation and management reporting in a same-day admission context.
What You Will Learn
- How the article frames a same-day inpatient admission scenario
- Which broad CPT evaluation and management category the FAQ addresses
- How the discussion relates hospital observation and inpatient settings at a high level
- What type of reporting issue is being clarified for admitting physicians
Who Should Read This
- Physicians
- Hospital coders
- Professional coders
- Billing staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
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