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Outpatient surgery, same day hospital transfer

Francisco Posted Wed 23rd of January, 2013 14:27:35 PM

Patient had outpatient surgery: UPP '42145', tonsils '42826', and trach '31600' (added due to breathing difficulty). Then was transferred to another hospital the same day due to respiratory problems. The second hospital was inpatient admission, and the patient was seen daily for three days '99232'. How do I code the admission to the second hospital on the same day as the initial outpatient surgery? Would the daily visits need a modifier? Can I also charge for hospital discharge?
Additional problem: this patient was taken back the the first hospital, the day after inpatient discharge, for a trach change. Is the correct coding for this surgery '31502' with a '78' modifier? Please help!!!

Francisco Posted Mon 28th of January, 2013 19:31:39 PM

Just checking on a response to my coding problem. Any suggestions?

SuperCoder Answered Tue 29th of January, 2013 17:51:39 PM

Hi,

I will respond you soon on this. This is a bit complicated so we are researching on this.

Thanks for being patient.

Francisco Posted Tue 05th of February, 2013 19:10:46 PM

Well, I knew this would be a difficult one. Any ideas at this point?

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