tci ED Coding & Reimbursement Alert - 2015 Issue 8

You Be the Coder: Coding a Chart When The Minimum Time Threshold For Critical Care Seems Questionable

Question: We need help coding this chart when the minimum time threshold for critical care seems questionable. What would you suggest? Texas Subscriber Chief Complaint Patient presents with: Cardiac Arrest I was unable to obtain a clear HPI, ROS from the patient or review their PMH, FH, SH due to acuity of condition (patient not responsive). HPI Patient is a 67 y.o. male with a PMH of CAD s/p CABG (10/3/2013), A fib on Coumadin, aortic stenosis, mitral regurgitation s/p MVR (10/5/2013), heart failure, pulmonary HTN, s/p gastric bypass (2002) and multiple hernia repairs who presents to the...

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