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observation and discharge same day but 2 providers

Leslie Posted Tue 26th of June, 2012 16:57:49 PM

I would like other coders opinions on an observation stay at the hospital. Physician A who was on call saw the patient in the AM and admitted her to observation. Physician B saw this patient later in the day and discharged her home. Both physician are from the same group practice. How would you bill this? Because the physicians are from the same group I believe I can only code one service. Thank you for your help

SuperCoder Answered Tue 26th of June, 2012 21:53:33 PM

If a patient is both admitted and discharged on the same calendar date, the code range of 99234-99236 are used; however, the following criteria must be met:

1.The patient must be in observation for a minimum of 8 hours.
2.The billing physician must be present and show active involvement by charting condition updates, orders, etc.
3.Both the admission and discharge notes are written by the billing physician (or may be billed by 2 physicians within the same group practice).

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