tci ED Coding & Reimbursement Alert - 2001 Issue 11

Reader Question: CPR Twice in One Day

Question: One of our ED physicians performed CPR on a 55-year-old patient who came into the facility with symptoms of cardiac arrest. Thirty minutes later, the patient arrested again, and the same physician performed CPR a second time. How should we bill for this? Michigan Subscriber  Answer: In this situation, you cannot bill CPR (92950, cardiopulmonary resuscitation [e.g., in cardiac arrest]) twice for the same physician. It might be possible to use modifier -59 (distinct procedural service) appended to the second CPR (92950) to indicate it was performed twice. Individual payer regulations may not allow this, so...

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