AMA CPT® Assistant - 2013 Issue 8 (August)

Evaluation and Management: Hospital Observation Services (Q&A) (August 2013)

August 2013 page 13a Evaluation and Management: Hospital Observation Services Question: If a patient is admitted to observation status (99218-99220) and remains under observation for two days (99224-99226) before finally being admitted as an inpatient to the hospital, is it appropriate to report the initial hospital care codes 99221-99223? Answer: If a patient is admitted to the hospital on a date subsequent to the date of observation status, the hospital admission may be reported with the appropriate initial hospital care code (99221-99223). The initial hospital care level of service reported should include all E/M services provided to that patient...

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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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