Home » Categories » Chargemaster

Recovery Charges


Question

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?

Answer

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
Clean Catch Urine Collection Kit
Viewed 1021 times since Fri, Jul 22, 2011
Telemetry
Viewed 866 times since Wed, Nov 23, 2011
BIS Monitor Used in Surgery
Viewed 468 times since Thu, Oct 25, 2012
Billing for Electronic Cigarette
Viewed 1373 times since Thu, Apr 21, 2011
Supply Codes
Viewed 1516 times since Thu, May 5, 2011
Supply HCPCS Codes- A6234
Viewed 3284 times since Sat, Mar 5, 2011
Oxygen Charges in the OR and Recovery Room
Viewed 1543 times since Thu, Dec 2, 2010
Stress Electrodes
Viewed 1420 times since Wed, Mar 28, 2012
Drugs Charged as Supplies
Viewed 943 times since Tue, Oct 2, 2012
Revenue Codes For Image Guidance Tissue Marker Placement
Viewed 2682 times since Mon, Dec 20, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506