Health Information Management

Tip: Count observation hours correctly

APCs Insider, August 5, 2011

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Report observation services with HCPCS code G0378 (observation services, per hour) under revenue code 0762 (observation services). Round the amount of time to the nearest hour.

For example, if a patient was in observation from 1 p.m. to 3:45 p.m., report G0378x3. If a patient was in observation from 1 p.m. to 3:20 p.m., report G0378x2. Bill all hours on the same line for a single date of service using the date observation services were started.

Observation time begins when a physician orders observation services and ends when all medically necessary services related to the observation are complete. Observation can end before a patient leaves a facility if the patient is waiting for transportation home. Time a patient spends waiting should not be reported as observation time.

The tip is adapted from “Correctly count observation time for outpatients” in the June issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Most Popular