tci ED Coding & Reimbursement Alert - 2004 Issue 6

Reader Question: Document Distinct Sessions on Multiple CPR Claims

Question: One of our ED physicians spent critical care time with an inpatient on two separate occasions on the same day. Both times, the care involved CPR. The second time the physician performed CPR, he discontinued the CPR after 10 minutes at the family's request. Should I append two modifiers, -76 and -53, to the second CPR code?New Mexico Subscriber Answer: If your documentation provides two separate sessions of the same service, you could report the therapeutic service with 92950 (Cardiopulmonary resuscitation [e.g., in cardiac arrest]) twice.For example, your documentation could show different locations within the...

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