tci E/M Coding Alert - 2016 Issue 7

Reader Question: Observe 8-Hour Rule on 1-Day Observations

Question: One of our physicians performed an observation service for a patient that lasted a very long time. The patient reported to the hospital at 9 a.m. Tuesday complaining of chest pains. After being in observation for most of the day, the physician discharged the patient at 11:13 p.m. Tuesday. Notes indicate a level-three observation service. How many codes should I report for this service? Ohio Subscriber Answer: You’ll only be able to report a single observation code for this service, if it is a Medicare payer or a payer that follows Medicare coding rules. On...

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