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Most discharge letters include a section that summarises the key information of the patient's hospital stay in patient-friendly language, including investigation results, diagnoses, management and follow up.
FAQ Enter your personal information including your name, address, and contact information. List the date of your admission and the date of your discharge. Describe your diagnosis and condition at discharge. List the medications and treatments you received during your stay.
CPT® 99238, Under Hospital Inpatient or Observation Discharge Services.
Essential elements of written discharge instructions Patient name. Physician name. Purpose of discharge instruction. Diagnosis/expected course. Potential complications. Patient instruction.
All services provided on the day of discharge from inpatient status are coded 99238 or 99239. This applies for a discharge from inpatient status on a day other than the day a patient was admitted. The full Medicare observation care services' billing rules are listed in the Medicare Claims Processing Manual, Chapter 12.