tci Part B Insider - 2011 Issue 34

E/M Coding: Only 'Treating Physician' Can Report Subsequent Observation Care, CMS Clarifies

All other doctors who evaluate the patient must report outpatient E/M codes.In effect for ten months now, CPT's subsequent observation care codes (99224-99226) have been something of a mystery since they were released, but CMS finally ended that last week by issuing clarifications about how to report these codes.CMS notes that subsequent observation care pay includes "all the care rendered by the treating physician on the day(s) other than the initial or discharge date," according to MLN Matters article MM7405, with an implementation date of Nov. 28, 2011.Because CMS refers specifically to the "treating physician"...

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