tci ED Coding & Reimbursement Alert - 2008 Issue 8
You Be the Coder: PQRI and P Modifiers
Question: Our ED is reporting for the Physician Quality Reporting Initiative (PQRI). One of the measures we are coding for is No. 28: Aspirin at Arrival for Acute Myocardial Infarction (AMI). Recently one of our physicians provided 46 minutes of critical care for a patient with AMI of the anterolateral wall (initial episode of care). The ED physician did not give the patient any aspirin, but the paramedics in the ambulance did. Do I need a P modifier for this encounter? New Jersey Subscriber Answer: No, you do not. According to the PQRI rules for Measure 28, the patient...
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