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Billing codes

Revenue code 0762

Observation room

The hospital revenue code for an observation stay, billed per hour with HCPCS G0378 as the accompanying code. It means you were in a hospital bed under observation status rather than admitted as an inpatient.

Watch out

Where this line goes wrong

Status decides what you pay

Observation is outpatient. Your outpatient benefits apply, and a long observation stay can cost more out of pocket than a short admission would have. It is the single most important thing to understand about this line.

Hours, not nights

The units should run from the observation order to discharge. Time in the ER before the order does not count.

Want to know if this line is right on your own bill? Upload it to a free mediloop account. An automatic first look reads the charges and shows what looks worth questioning, usually in about a minute.

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What to do

Check it, then ask

  1. 1

    Confirm the observation order time and discharge time and check the billed hours.

  2. 2

    Ask your insurer how the stay was processed and what your outpatient cost sharing is.

  3. 3

    If the stay crossed two midnights, ask the hospital whether inpatient admission criteria were met.

The full walkthrough for this kind of bill: You got an ER bill.

Think this line is wrong?

Upload the bill to a free mediloop account. An automatic first look reads the charges and shows what looks worth questioning, usually in about a minute. If you want a specialist to dispute it for you, it is a flat $129, refunded in full if the bill isn't lowered by at least $129.

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Not sure the bill is worth fighting? Run the free savings calculator first

Questions

People also ask

What is the difference between observation and admission?

Admission means the doctor decided you needed inpatient hospital care. Observation means the doctor was still deciding. The care can look identical from the bed; the billing is very different.

Sources

This page explains a billing code in general terms. It is not a coding, legal or medical opinion about your bill, and the code descriptions are mediloop's own plain-English summaries, not the official CPT descriptors, which are owned by the American Medical Association. Whether a charge was correct depends on the record of your visit and your payer's rules.