Coding, Classification & Reimbursement

DOS for Surgeries that begin one day and end the next

  • 1.  DOS for Surgeries that begin one day and end the next

    Posted 15 days ago
    ​​Hello

    What is the correct DOS for a surgery that begins before midnight on 11/29 but ends at 1am on 11/30.  I can't seem to find the guideline.

    Thank you!

    ------------------------------
    Kavita Nagrani
    Biller - CCS
    ------------------------------


  • 2.  RE: DOS for Surgeries that begin one day and end the next

    Posted 15 days ago

    I would use 11/29 if that is the date the surgery started.

     

    Lynn

     

    Lynn A. Wall, RHIT, CCS

    Interim Coding Supervisor

    EM:  lynn.wall@mihs.org

    PH:  610-442-3760

     






  • 3.  RE: DOS for Surgeries that begin one day and end the next

    Posted 14 days ago
    ​Hello!

    It is very frustrating that a direct answer to this question is so hard to find.  I am sure it is somewhere in the CMS Medicare or UB instructions.  However, finding the answer using a web search seems to be like finding a needle in a haystack.

    I have always used the date the procedure begins.  I have never been questioned using the beginning date even when the procedure spans two dates.

    If someone can direct to an official source, it would be greatly appreciated.

    ------------------------------
    Lawrence Barr
    President
    ------------------------------



  • 4.  RE: DOS for Surgeries that begin one day and end the next

    Posted 12 days ago
    I agree with you Lawrence but also unable to find that "needle in the haystack".  If anyone else has a definite answer, please post and thanks to everyone.

    ------------------------------
    Nelda Laskey RHIT
    Coder/RAC Coordinator
    Kearny County Hospital
    ------------------------------



  • 5.  RE: DOS for Surgeries that begin one day and end the next

    Posted 11 days ago
    Medicare Claims Processing Manual, Chapter 4 (Outpatient) doesn't speak to surgery specifically, but does advise for both OBS and ER as follows:
    Section 290.2.2
    "If a period of observation spans more than 1 calendar day, all of the hours for the entire
    period of observation must be included on a single line and the date of service for that
    line is the date that observation care begins."

    Section 180.6
    "The line item date of service for the ER encounter is the date the patient entered
    the ER even if the patients encounter spans multiple service dates"


    ------------------------------
    Sheila Goethel
    Coding Services Senior Manager
    ------------------------------



  • 6.  RE: DOS for Surgeries that begin one day and end the next

    Posted 9 days ago
    Hi, the date the surgery commenced is relevant.

    ---------------------------------
    Olasunkanmi Peleowo
    ---------------------------------