tci ED Coding & Reimbursement Alert - 2019 Issue Q4

You Be the Coder: Pin Down Vent Management Documentation

Question: What documentation is necessary when reporting vent management? Supercoder Subscriber Answer: The ED physician should record the ventilator settings and adjustments. This includes the initial or current vent settings, any changes to those, and recommendations and/or orders relating to the vent setting changes. Once you know how your physician administered the ventilation, look at when he administered the treatment. The codes are based on whether you’re reporting the first day of ventilation or subsequent days, but in the ED you’re typically only likely to report the first day unless the patient is moved into observation care...

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