You indicate that your patient should have been designated as in observation status per your orders, so you are correct in reporting the same-day admission and discharge codes (ie, 99234–99236) provided the key components or typical time of the service are met. For observation services, Current Procedural Terminology (CPT®) instructs: “The following codes are used to report evaluation and management services provided to patients designated/admitted as ‘observation status’ in a hospital. It is not necessary that the patient be located in an observation area designated by the hospital.”

Not typically. CPT code 99080 is described as special reports such as insurance forms, more than information conveyed in the usual medical communications or standard reporting form. While this description leaves to interpretation what work would be more than the usual medical communications or standard reporting form, there is additional guidance from the American Medical Association CPT Assistant...

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