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ShoshanaRuth

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Patient is admitted to hospital at 05270 am on 6/13/2017 and discharged at 1705 on 6/13/17.  Admitting doctor sees patient and writes H & P at 1055 am and admitting doctor writes Discharge summary at 12:59 am (pending clearance by general surgery consultant who does so at 13:52).  Is this a same day admit/discharge observation code?  Another coder feels the H & P and Discharge Summary visits have to be separated by 8 hours. 

 

ShoshanaRuth

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Posts: 10
Reply with quote  #2 
This was answered on another blog/forum.  I will share what was said in case others have this question.

Below is the information from CMS on same day admit and discharge. The patient does need to be in the hospital for a minimum of 8 hours to bill same day admit and discharge E/M codes 99234-99236. If the patient is in the hospital for less than 8 hours an initial code would be billed only without a discharge. Based on the times given the patient was in the hospital longer than 8 hours so you can billed 99234-99236.

When a patient is admitted to inpatient hospital care for a minimum of 8 hours, but less than 24 hours and discharged on the same calendar date, the physician shall report the Observation or Inpatient Hospital Care Services (Including Admission and Discharge Service Same Day) using a code from CPT code range 99234 – 99236, and no additional discharge service. When the patient is admitted to inpatient hospital care for less than 8 hours on the same date, then Initial Hospital Care, from CPT code range 99221 – 99223, shall be reported by the physician. The Hospital Discharge Day Management service, CPT codes 99238 or 99239, shall not be reported for this scenario. 

https://www.cms.gov/Regulations-and-Gui ... 1465CP.pdf
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