Discharge Day Management Coding
Don’t forget to bill for discharge day management the day you discharge your patient.
Code Description Medicare payment (2002)
Discharge day management
99238 Hospital discharge day management; 30 minutes or less $63.63
99239 Hospital discharge day management; more than 30 minutes $87.35
Discharge Day Management codes are used by the attending physician who
discharges the patient from the hospital. Discharge Day Management codes are
used to report the total duration of time spent by a physician for all services
performed as part of the hospital discharge. Since the discharge day management
codes are time based, you must document the “total time” spent performing these
services in the patient’s medical record.
Time spent by the physician does not have to be continuous.
In order for the teaching physician to bill Medicare for these services he/she must
personally perform and document any or all of the following components stated
below: (cannot count resident's time spent performing these services)
o Discussion of the hospital stay with the patient.
o Final examination
o Planning and instructions for continuing and follow up care to all relevant
o Preparation of discharge records, prescriptions and referral forms.
* Medicare will not pay for a Subsequent Hospital Visit (DC) and Discharge
Management (DP) on the same day by the same physician. Therefore, bill the DP only on
the day of discharge.
Bill for discharge day management on the day of discharge.
On your billing card/sheet, document DP1 or DP2.
DP1 = hospital discharge day management; 30 minutes or less
DP2 = hospital discharge day management; more than 30 minutes