tci ED Coding & Reimbursement Alert - 2008 Issue 10

Overlapping Time Usually a No-No on Critical Care

Be careful when considering concurrent critical care coding Your ED physician and a different specialty doctor can provide critical care on the same calendar date to the same patient during the same session -- as long as the services are not "duplicative." "To me, -duplicative- would be two physicians from different specialties providing the same type of treatment," says Catherine Brink, CMM, CPC, CMSCS, president of Healthcare Resource Management in Spring Lake, N.J. When coding for concurrent care, "the medical specialists may be from the same group practice or from different group practices," according to...

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