I recently saw a 3-year-old established patient with status asthmaticus in my office evening clinic. He was treated there for 2 hours (1 hour with the physician, 1 hour with a nurse administering inhaled medications and oral steroids), but the wheezing failed to clear, and the child was admitted as an inpatient to our local hospital. I performed the admission history and physical examination in the office, along with the medical decision making required to generate a treatment plan and orders. I then stayed in communication with the hospital nurses that night as the child improved, and I saw him the next morning on rounds. He had indeed improved, but was not ready for discharge.Physicians’ Current Procedural Terminology (CPT®)tells us on the one hand to add the office visit into the initial hospital care code if the patient is admitted on the same day, but on...

You do not currently have access to this content.