tci General Surgery Coding Alert - 2004 Issue 2

Reader Question: Same-Day Observation/Discharge = 99234-99236

Question: A patient presented to the ED complaining of dizziness and nausea following a minor blow to the head. The surgeon examined the patient and, finding no definitive cause for the condition, placed the woman in observation at 9 a.m. At 7 that night, the surgeon decided to discharge the patient. Which observation code should I use?Arkansas Subscriber Answer: Because the surgeon admitted and discharged the patient on the same date, you should choose the appropriate code from the range 99234-99236 (Observation or inpatient hospital care, for the evaluation and management of a patient including admission and...

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