tci ED Coding & Reimbursement Alert - 2013 Issue 1

Reader Question: Form A Line To Learn About The Femoral Line

Question: A 22-year-old motor-vehicle accident victim reports with multiple injuries and the ED physician provides 84 minutes of care to this critically injured patient. During this time the physician uses ultrasound imaging to place a femoral line (non-tunneled centrally inserted venous catheter). Is the line placement separately reportable, or is it part of the critical care package? Idaho Subscriber Answer: You should carve the line placement service out of the total critical care time, as it is a separately reportable service. The introductory notes for Critical Care Services in CPT® 2013 list several procedures that are included in 99291 ...

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