consultant billing Obs patients

Hi, I have an inpatient-only neurology consultant practice. I am not the admitting physician. I often see the Observation patient, as a CONSULTANT usually only once, but sometimes up to 3 days in a row (all Obs status). What CPT® codes should be used? For example if I am seeing them on their 2nd obs day, then they are discharged without me seeing them again? Also what place of service is that, and could you give the RVUs for the CPT® codes you will mention. I essentially never see an OBS pt on their first & only day, twice (with 2 documentations). Thanks for your help.

re: consultant billing Obs patients

99217-99220

Facility Observation Visits: Initial and Discharge

INCLUDES: Services provided on the same date in other settings or departments associated with the observation status admission (99201-99215, 99281-99285, 99304-99318, 99324-99337, 99341-99350, 99381-99429)

Services provided to new and established patients admitted to a hospital specifically for observation (not required to be a designated area of the hospital)

EXCLUDES: Services provided by physicians or another qualified health care professional other than the admitting physician ([99224, 99225, 99226], 99241-99245)

Services provided to a patient admitted to the hospital following observation status (99221-99223)

Services provided to patients who are admitted and discharged from observation status on the same date (99234-99236)

re: consultant billing Obs patients

If a Medicare patient use new or established office visit code levels.
If non-medicare and consultation criteria met: use 99241-99245 (initial consult)
Place of service is outhospital.