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
CPT/NRV Question
Viewed 2598 times since Thu, Sep 29, 2011
Supply Codes
Viewed 1826 times since Thu, May 5, 2011
Clean Catch Urine Collection Kit
Viewed 1170 times since Fri, Jul 22, 2011
Thoracic Bioimpedance
Viewed 2131 times since Mon, Apr 25, 2011
Recovery Room Service
Viewed 7844 times since Tue, Nov 6, 2012
Recovery Room
Viewed 2188 times since Tue, Dec 7, 2010
Pulmonary Rehab
Viewed 79 times since Thu, Jan 20, 2011
Drugs Charged as Supplies
Viewed 1044 times since Tue, Oct 2, 2012
Oxygen Charges in the OR and Recovery Room
Viewed 1798 times since Thu, Dec 2, 2010
NRV Codes
Viewed 2266 times since Thu, Sep 29, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506