tci ED Coding & Reimbursement Alert - 2019 Issue 4

Reader Question: Vent Management Vs. Critical Care

Question:  Our physician performed vent management on a critically ill patient. We reported 94002 and it was denied. Should we appeal? Supercoder Subscriber Answer: If your physician provides initial-day ventilation management services in the course of treating a critically ill or injured patient, you’ll report the critical care code instead of a ventilation management code, per CPT® guidelines. The reason: Ventilation management, when performed, is specifically bundled into the critical care code (and most other E/M codes); these E/M codes are a more accurate representation of the high complexity multi-faceted evaluation and patient management that is being...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.