Francisco Posted Wed 02nd of March, 2011 16:37:54 PM
We have numerous post-op hospital admits for 23 hr observation due to dehydration, etc. I have coded '992
31' to '99233' with a '24' modifier for different admit/discharge dates. I also use '99234-99236' for same day admit/discharge with '24' modifier. EOB says refer to billing guidelines for proper billing. Should these be considered '99024' ? I need help with these. Thanks, Sandra
SuperCoder Answered Thu 03rd of March, 2011 06:00:51 AM
We have watch wording of documentation very carefully. First confirm if it is Admit to Observation or Admit to Hospital as Inpatient. In post-op hospital admits cases, similarly, please check if the patient has been discharged from the Inpatient status and then transferred to Observation care or still in the Inpatient status, even though is under Observation.
These are some of the factors that decide the codes that you are going to select. Please confirm me about these info.
Francisco Posted Tue 08th of March, 2011 19:16:39 PM
OK-an example: Initial procedure was an outpatient surgery, then the folIowing day patient was admitted to hospital for dehydradtion. I used '99232' described as hospital admit-observation with'24'modifier. Place of service is shown as outpatient hospital. They denied saying to refer to proper billing quidelines. Any suggestions?
Nikhil Answered Tue 08th of March, 2011 22:47:27 PM
In such a case, Admit to Observation is coded in the range 99218-99220 and if discharged the other day, then use the code 99217.