AMA CPT® Assistant - 2010 Issue 9 (September)

Coding Brief: Observation Care Scenarios (September 2010)

September 2010 pages 4-5 Coding Brief: Observation Care Scenarios There continues to be confusion regarding the appropriate reporting of services provided to patients designated or admitted as “observation status” in a hospital. The patients in this status are observed to determine whether they should be admitted to the hospital, transferred to another facility, or sent home. However, these services may be provided in any area of the hospital; it is not necessary for the hospital to have a designated physical area in which these observation services are performed. A source of coding confusion relates to prolonged stays at observation...

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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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