tci Part B Insider - 2006 Issue 8

CARDIOLOGY: Eight Is Enough For Day-Long Observation Or Inpatient Care

Learn when 99234-99236 is appropriate--and when it's notThe timeframe in which a patient receives care can make major imprints on your reimbursement.  Medicare's eight-hour rule outlines what codes you should report based on whether the patient's stay lasts more than eight hours. Code it this way: "If a cardiologist admits a patient, discharges her from observation on the same day, and she was there for more than eight hours, I always report 99234-99236 (Observation or inpatient hospital care [including admission and discharge])," says Jessica Carriveau, a coding specialist at Cardiology Associates of Green Bay Ltd. in Green...

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