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Last Modified: 8/17/2018 Location: FL, PR, USVI Business: Part A, Part B

Where to find detailed scenarios pertaining to observation care codes

Q. Where can I find information explaining and distinguishing between codes and guidelines pertaining to observation care and inpatient admission/discharge?
A. The CMS internet-only manual provides detailed scenarios pertaining to observation care coding, and guidelines regarding billing/coding for inpatient hospital services. You can find these guidelines in the CMS internet-only manual, Publication 100-04, Chapter 12, Section 30.6.8 at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf external pdf file.
Source: CMS internet-only manual (IOM) Publication 100-04 Medicare Claims Processing Manual, Chapter 12, Section 30.8.8
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