tci ED Coding & Reimbursement Alert - 2000 Issue 5

Reader Question: Using 99358 and 99359

Question: We are trying to find a code or codes to use for patients who are awaiting transfer to another facility but are still provided with monitoring. The monitoring may be minimal or significant, depending on the circumstances. I understand that 99358 is used for reviewing extensive records, tests and communication for the first hour. But is the purpose of the 99359 code for the instances I am questioning? If a patient was waiting for three hours and 99358 is used, can we add 99359 times 5? What are the guidelines?Kimberly A. Morosky, ART, CCSGreene County Memorial HospitalWaynesburg...

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