Outpatient Facility Coding Alert - 2009 Issue 5
You Be the Coder: Hospital Discharge After Consultation
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Article Overview
This coding Q&A discusses hospital discharge reporting in an inpatient setting when a family practice physician admits a patient and a general surgeon is consulted during the stay. It addresses the roles of the attending physician, concurrent care, and discharge reporting at a general level, along with how postoperative global periods can affect whether hospital care and discharge services are separately reported. The article is relevant to physicians, inpatient coders, and billing staff who work with CPT hospital care and discharge services.
Why This Topic Matters
Correctly identifying the physician responsible for discharge reporting affects inpatient billing accuracy and helps avoid duplicate or inappropriate claims when multiple physicians are involved in the patient’s care.
What You Will Learn
- How hospital discharge reporting is generally assigned in an inpatient episode involving more than one physician.
- How concurrent care relates to hospital care reporting in a shared inpatient setting.
- How postoperative global surgical periods can affect separate billing for later hospital services.
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Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Inpatient practice managers
Codes Discussed
Code Ranges Discussed
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