tci ED Coding & Reimbursement Alert - 2001 Issue 9

You Be the Coder: Critical Care

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: If one ED physician admits a patient to observation care and another ED physician provides critical care to that patient while he or she is in observation care, can the doctor providing the critical care bill for this service?Oklahoma Subscriber Answer: The ED physician who provides critical care can bill for the services, but it is important to ensure that such services are actually provided. CPT 2001 revised its terminology to help clarify the issue and...

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