tci ED Coding & Reimbursement Alert - 2005 Issue 4

Reader Questions: Assign 2 Codes for 2 Dates

Question: We had a patient seen in the ED at  8 p.m. one day, admitted to observation at 2 a.m. the following morning, and discharged later that second day. What is the correct way to code patient care that spans two dates of service?New Mexico Subscriber Answer: If the patient's admission to observation care takes place after midnight, you should report the appropriate emergency department E/M code for the first day's care (pre-midnight), and for the second day's care (post-midnight) you'll report one of the following codes:   99234 - Observation or inpatient hospital care, for ...

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