tci General Surgery Coding Alert - 1999 Issue 2

Observation Codes Used Correctly Can Pay Off

Coders in general surgeons offices tend not to use observation codes very often. However, these relatively new and largely under-utilized codes can be very useful. Coders need to be aware of their options so they can examine their documentation and make informed decisions about which codes to use when admitting patients to the hospital. In the past, patients usually were admitted directly to the hospital and billed with the hospital admit codes (99221-99223). However, patients often are admitted to an outpatient observation unit in the hospital, and there are special codes and criteria that must be met to bill...

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