tci ED Coding & Reimbursement Alert - 2001 Issue 2

Reader Question: Admit and Discharge on Different Date

Question: A patient is held in the ED overnight to be watched and re-evaluated by a psychiatric team for possible admission to a psychiatric hospital, i.e., suicidal intention, 72-hour watch. A different doctor and staff make the discharge decision and continue care ordered on a different day. Should we code this with 99217?Patti PrentissShayegan Medical Administration Inc., Encinitas, Calif.Answer: The definition of 99217 reads, observation care discharge day management (this code is to be used by the physician to report all services provided to a patient on discharge from observation status if the discharge is on...

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