tci Part B Insider - 2008 Issue 17

READER QUESTION: Don't Report Inpatient Hospital Care When Physician Admits Patient to Observation

You can list subsequent days as inpatient care, howeverQuestion: Our physician admitted a patient to observation on April 22. The physician wrote orders to change the full admission on April 23. The patient remained in-house on April 24, and the doctor discharged him on April 25. Should I report day one as initial observation, days two and three as subsequent hospital care, and day four as discharge? Or should I bill all days as inpatient, including April 22? Answer: The answer to both of your questions is -No.- You should stick with initial observation care (99218-99220, Initial observation...

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