Author Topic: 99217 AND 99219  (Read 7952 times)

riafat

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99217 AND 99219
« on: March 17, 2011, 12:19:39 AM »
Can will bill codes 99217 and 99219 as outpatient 22?

THanks in advance

PMRNC

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Re: 99217 AND 99219
« Reply #1 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.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

pattil88

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Re: 99217 AND 99219
« Reply #2 on: March 17, 2011, 11:49:08 AM »
Yes - place of service 22 is appropriate for observation services.

PMRNC

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Re: 99217 AND 99219
« Reply #3 on: March 19, 2011, 10:23:40 AM »
No, not 99217, patient WAS in observation status but was then DISCHARGED FROM HOSPITAL
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

pattil88

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Re: 99217 AND 99219
« Reply #4 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?

TxJFP

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Re: 99217 AND 99219
« Reply #5 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...


riafat

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Re: 99217 AND 99219
« Reply #6 on: March 21, 2011, 03:51:23 AM »
Thanks alot all of your information!!!!!!

I also believe 22 POS can be billed.
« Last Edit: March 21, 2011, 04:00:22 AM by riafat »

oneround

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Re: 99217 AND 99219
« Reply #7 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
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare