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In the coming year, when reporting the middle day of observations that last longer than normal, you will have a new option. Read on and find out how CPT additions will impact your ob-gyn's observation care services beginning on January 1, 2011. Just-in codes offer clarity Prior to 2011, coding for the 'middle days' of an observation service was a troublesome affair. Even though not the norm, there are situations where a patient is admitted to observation and remains in that status for three or more days. The CPT 2011 E/M section addresses these middle days with new codes. These new codes parallel the hospital subsequent care series in terms of component requirements and time frames. The new codes include: 99224, 99225 and 99226. 99224-99226 stamp out insurer variances There has been some complexity about the ways to report the middle day for those cases when an observation period transcends three calendar days. The introduction of these just-in CPT codes resolves that predicament. Before guidance for these 'extended' observation and middle day observation stays created some confusion and led to various policies such as the Spring 1993 edition of CPT Assistant, which instructed...more
The Mandatory Zip Code System Initially when the zip code system began in the United States, it was adopted as a non-mandatory system. This means that not all parts of the country was making use of the zip code system. There were some parts of the country that were registered under the zip code system and there were some other parts of the...more
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The "Plus Four Codes" When the zip code was introduced in 1963, it actually came with five digits. These five digits had their own representation that they stand for in the way mails are distributed all through the United States. ...more
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