tci ED Coding & Reimbursement Alert - 2011 Issue 4

Observation coding: Observation Under 8 Hours? Consider This Coding Strategy

Remember to leave 99217 off these claims.Observation coding conventions call for a code from the 99218-99220 (Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: ... ) code set for patients in the first day of observation if the service spans more than one calendar date.You should also call on these codes for certain single-day observation stays.When? If you are coding for a Medicare payer, opt for 99218-99220 when the observation lasts less than eight hours on the same calendar date, confirms from Jill M. Young, CPC...

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