tci ED Coding & Reimbursement Alert - 2003 Issue 11

Identify Critical Care and Receive Vital Payment Boost

Most emergency department (ED) coders are familiar with the standard scenarios in which critical care is provided: a severely injured accident victim or a patient with unstable vital signs and chest pains. But to maximize your reimbursement potential, you have to know when you can use critical care codes in some lesser-known situations, and what the physician must document before you can report critical care. Many emergency care coders inadvertently come up short when coding for critical care services (99291 and 99292). The reason? Insufficient documentation. Keeping exact track of time and resources expended - often very difficult...

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