tci ED Coding & Reimbursement Alert - 2003 Issue 8

Dont Skimp on Critical Care for Anaphylaxis Patients

If you're overwhelmed every time you have to decipher codes for anaphylactic patients, you need to learn which services CPT bundles with the critical care codes. You can use critical care codes (99291-99292) for the treatment of anaphylactic shock, says Susan Callaway, CPC, CCS-P, an independent coding and reimbursement specialist and educator in North Augusta, S.C. However, many ED physicians find it difficult to decide whether to categorize the services provided to anaphylactic-shock patients as critical care or an upper-level ED visit. Take a look at the following scenario to help clarify this complex issue for you. ...

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