BC Advantage - 2009 Issue 5

Critical Care Isn't Just for the Emergency Department

The critical care codes may be listed in CPT's Evaluation and Management section, but they play by a different set of rules. That does not mean, however, that reporting these services has to be difficult.Critical care is the physician's direct delivery of medical care to a critically ill or injured patient, according to CPT and the Centers for Medicare & Medicaid Services (Medicare Claims Processing Manual, Chapter 12, §30.6.12(A)). And a critical illness or injury is one that "acutely impairs one or more organ systems such that there is a high probability of imminent or...

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