AMA CPT® Assistant - 2018 Issue 4 (April)

Evaluation and Management: Observation or Inpatient Care Services (Q&A) (April 2018)

April 2018 page 10 Evaluation and Management: Observation or Inpatient Care Services Question:Is the reporting of Current Procedural Terminology (CPT®) codes 99234-99236restricted to a single physician? Or, may these codes be reported by a second physician, who provides care for a separate problem during the same brief hospital stay? Answer: Only the physician admitting and discharging the patient to observation status or inpatient hospital care on the same day may report the appropriate observation or inpatient care code (99234, 99235, or 99236). This refers to the initiation of observation status or inpatient hospital admission, the supervision of the...

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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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