tci ED Coding & Reimbursement Alert - 2010 Issue 10

CPT 2011 Clinical Corner: Use This Expert Scenario to Get a Grip on 99224-99226 Situations

'Middle day' observation codes are game changers for patients in observation 3+ days.Coders need to understand the new 99224-99226 observation codes soon, as reporting the "middle days" of observation services lasting three days or more will change on Jan. 1, 2011. To illustrate how to use the 99224-99226 observation codes, consider this detailed clinical example courtesy of Michael Granovsky, MD, CPC, FACEP, president of MRSI, an ED coding and billing company in Woburn, Mass.A 62-year-old patient with dyspnea and chest pressure presents to the ED at 8 p.m. Saturday. The physician admits the patient to observation...

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