Join code in the Hospital Discharge

Aug 6th, 2022
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How to join code in the Hospital Discharge

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hello everyone Im Ann Nolan with Lighthouse coding today well go over the 2023 e m changes for hospital inpatient and observation services with the 2023 CPT updates came a big change in the way that we code hospital inpatient and observation Services these two groups of services have now been combined into one subsection which resulted in the deletion of seven codes in the revision of 11 existing codes the new subsection is titled hospital inpatient and observation care services and while the title of this subsection includes the word and hospital inpatient and observation care services it is important to note the use of the term or thats found in all of the code descriptors that are found in this subsection the usage of the term or indicates that these codes may be reported for either type of service inpatient or observation before these changes went into effect we used to have three sections with additional subsections these were Hospital observation Services which included initia

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The discharge status code identifies where the patient is being discharged to at the end of their facility stay or transferred to such as an acute/post-acute facility. The discharging facility should ensure that documentation in the patients medical record supports the billed discharge status code.
CPT codes 99234-99236, observation or inpatient care, are used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date. All services provided on the day of discharge from inpatient status are coded 99238 or 99239.
CPT code 99232 is assigned to a level 2 hospital subsequent care (follow up) note. 99232 is the intermediate and most commonly used level of non-critical care daily progress note. When it comes to 99232 documentation is critical, however understanding of the documentation required is even more critical.
A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter or at the end of a billing cycle (the through date of a claim).
Demystifying Hospital-Based Discharge Codes 99238, 99239 They are used to report the total duration of time you spend on the date of discharge. The time does not need to be continuous. This means that the time is actually the sum of the different amounts of time you spend in discharge activities.
20 = Expired (patient did not recover). 21 = Discharged/transferred to court/law enforcement. 30 = Still patient.
65 Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital.

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