Medical Billing Forum

Coding => Coding => Topic started by: riafat on March 17, 2011, 12:19:39 AM

Title: 99217 AND 99219
Post by: riafat on March 17, 2011, 12:19:39 AM
Can will bill codes 99217 and 99219 as outpatient 22?

THanks in advance
Title: Re: 99217 AND 99219
Post by: PMRNC on March 17, 2011, 06:32:34 AM
An observation care discharge service (CPT 99217) is used for patients who were in "observation status" and discharged from the hospital on a day other than the day they were admitted for observation.

Report an initial observation care code (CPT 99218-99220) for encounters with patients while they are in observation status.
Title: Re: 99217 AND 99219
Post by: pattil88 on March 17, 2011, 11:49:08 AM
Yes - place of service 22 is appropriate for observation services.
Title: Re: 99217 AND 99219
Post by: PMRNC on March 19, 2011, 10:23:40 AM
No, not 99217, patient WAS in observation status but was then DISCHARGED FROM HOSPITAL
Title: Re: 99217 AND 99219
Post by: pattil88 on March 20, 2011, 07:21:14 AM
So what place of service do you use for 99217? I thought the place of service should match the patient's status (inpatient or outpatient) in a facility and that observation status was still considered outpatient?
Title: Re: 99217 AND 99219
Post by: TxJFP on March 20, 2011, 04:24:55 PM
POS 22 is what I use and previous work with other billing services have used 22 as well. Insurance paid...

Title: Re: 99217 AND 99219
Post by: riafat on March 21, 2011, 03:51:23 AM
Thanks alot all of your information!!!!!!

I also believe 22 POS can be billed.
Title: Re: 99217 AND 99219
Post by: oneround on March 23, 2011, 02:27:15 PM
As long as the patinet was not admitted IP the POS for Ob would be 22.  If the pt was admitted IP on a subsequent date to the Ob then you would use your IP codes with an 21 POS.   A pt. that is Ob has nit been formally admitted this is considered OP