tci ED Coding & Reimbursement Alert - 2005 Issue 1

You Be the Coder: Reporting Observation in the ED

Question: I have several questions about observation services in the ED. Is it true that the observation time begins when the doctor admits the patient to observation? If the patient arrives in the ED on one calendar date and the doctor admits him to observation after midnight, how should we report this? In that case, must the chart include both an ED dictation and an H&P with admit orders for the obs stay - or does the initial dictation justify both charges?   Connecticut SubscriberAnswer: According to the CPT manual, observation services describe a calendar date...

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