ED providers billing observation codes

Can ED providers who are "observing ED Patients" who are not in observation status, bill using observation CPT codes instead of an ER E&M?

LuAnn Weis, MPA, CHC, COC, CPC, CPCO, CPMA
Director of Compliance
Nyack Hospital
160 N. Midland Avenue
Nyack, NY 10960
Ph: 845-348-7293
Fax: 845-348-2160
weisl@nyackhospital.org
[Nyack Hospital lLogo_NoTag-01]



Comments

  • edited May 2017
    The patient can be in the ED but has to be “admitted to observation”. Observation is a "patient status" rather than a place. Observation services may take place in a regular bed in the ED, in a special observation area of the ED, a formal observation unit, or even in an inpatient bed.



    Long ED visits or patients monitored in the ED without a status change should be reported with 9928x codes.



    TT





    Todd Thomas, CPC, CCS-P ERcoder, Inc

    President 941 NW 164th, Suite 1

    todd@ercoder.com Edmond, OK 73013

    (405) 749-2633 www.ERcoder.com



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