tci ED Coding & Reimbursement Alert - 2005 Issue 3

READER QUESTIONS: Split Codes by Date of Service

Question: A patient presented to the ED on a Monday at 11:05 p.m. The patient received some initial treatment, including an expanded, problem-focused history and physical, and moderate medical decision-making. However, the physician didn't admit the patient to observation until Tuesday at 1:37 a.m. Later that day, she discharged the patient. Could I charge 99283 for Monday's services, and 99217 (Observation care discharge ...) for Tuesday's?South Dakota Subscriber Answer: Because CPT evaluation and management codes describe services performed on a specific calendar day, it is permissible to report a separate E/M code for each date of...

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