tci ED Coding & Reimbursement Alert - 2010 Issue 11

Reader Questions: Coder Carve-Outs Necessary for Spot-On Critical Care Claims

Question: The ED physician recently provided an extensive service for a critically ill patient who suffered an acute myocardial infarction (AMI). During the service, the physician performed the following services:Cardiopulmonary resuscitation (CPR) Cardiac outputElectrocardiogram (ECG) interpretation and reportChest X-raysPulse oximetry.Are all of these services considered part of the critical care package?Montana SubscriberAnswer: Some of the services you list are part of the critical care service, while others are not.Part of critical care: Cardiac output, chest X-rays, pulse oximetry.Separate from critical care: CPR, EKG interpretation. When you file, be sure to submit 92950 (Cardiopulmonary resuscitation [e...

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