Home » Categories » Chargemaster

Recovery Charges


Following routine surgery of hernia or appendix for example,no unplanned outcomes requiring observation occur. However, patient stays overnight till next morning. No one on one nursing, just standard recovery. Vitals checked, food tolerated, urination, all observed. What charges are appropriate from the end of surgery recovery period(4-6 hours) till discharge?


Same day surgery patients, as you have pointed out, are expected to be discharged within the 4-6 hour post operative period.  Patients who are kept overnight that do not meet medical necessity for observation care would appear to be kept for patient or physician convenience which would not be a covered service.  Occasionally I have seen a facility try to bill this either under the surgery or recovery room revenue code however, whenever I do, I recommend that that the facility discuss the appropriateness of this with their fiscal intermediary along with the proper revenue code to charge it under.  Other facilities have set up an extended recovery room charge with a $0 charge just to keep track of the hours spent providing services to these patients.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Revenue Codes For Image Guidance Tissue Marker Placement
Viewed 3090 times since Mon, Dec 20, 2010
Oxygen Charges in the OR and Recovery Room
Viewed 1927 times since Thu, Dec 2, 2010
Thoracic Bioimpedance
Viewed 2217 times since Mon, Apr 25, 2011
Orthotics Are They DME Supplies?
Viewed 4388 times since Thu, Dec 2, 2010
Telemetry Supplies
Viewed 15604 times since Sun, Feb 17, 2013
Billing for Electronic Cigarette
Viewed 1899 times since Thu, Apr 21, 2011
BIS Monitor Used in Surgery
Viewed 653 times since Thu, Oct 25, 2012
Drugs Charged as Supplies
Viewed 1117 times since Tue, Oct 2, 2012
Clean Catch Urine Collection Kit
Viewed 1227 times since Fri, Jul 22, 2011
Code 93012
Viewed 1641 times since Wed, Jan 19, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506