CPT Knowledgebase - Mar 8, 2022

Is it appropriate to report Current Procedural Terminology (CPT ) critical care services codes when patients are admitted to the critical care unit (CCU) for postoperative monitoring due to a high risk of compromise? In such cases, it has been observed that physicians or other qualified health care professionals (QHPs) order frequent monitoring (eg, neurologic checks post-cranial surgery or cardiorespiratory monitoring every hour), which is performed by nursing staff. Is monitoring alone sufficient to support critical care services? The terms manipulate and support used in the critical care services guidelines infer that actions beyond the normal actions of the physician or other QHP are required.

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