tci ED Coding & Reimbursement Alert - 2011 Issue 11

Reader Question: Can Pre-Hospital Direction To EMS Be Included In Critical Care Time?

Question: Can you count the time a physician is involved in \"pre hospital care\" in critical care time? All I can really find is that the patient needs to be \"directly available to the physician.\" We have some controversy on this with the physicians that I am hoping to solve. Any help would be appreciated. Georgia Subscriber Answer: The critical care codes do have some pre-service time allocated in assigning their relative value units. It is not uncommon to have some notification that a major trauma patient or patients are on their way, giving the emergency physician a...

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