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OBS coding

SuperCoder Posted Wed 15th of February, 2017 12:38:39 PM
I am very confused. Our doctors are called to see a patient in the hospital (OBS) status. I seen like I read somewhere that we can not bill the 99218-99220 codes because we are not the admitting doctor(s). Also we can not bill the 99224-99226 codes for the same reason. Was I dreaming? And if not do I use the 99202-99205 and 99212-99215 Thanks
SuperCoder Answered Thu 16th of February, 2017 08:01:55 AM

Hi,

Our team is working on it and will get back soon.

SuperCoder Answered Fri 17th of February, 2017 07:31:37 AM

Payment for an initial observation care code is for all the care rendered by the ordering physician on the date the patient’s observation services began. All other physicians who furnish consultations or additional evaluations or services while the patient is receiving hospital outpatient observation services must bill the appropriate outpatient service codes. For example, if an internist orders observation services and asks another physician to additionally evaluate the patient, only the internist may bill the initial observation care code. The other physician who evaluates the patient must bill the new or established office or other outpatient visit codes as appropriate.

https://www.cms.gov/manuals/downloads/clm104c12.pdf

SuperCoder Answered Mon 20th of February, 2017 01:22:57 AM

Also check the above pasted link.

Thankyou

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