tci ED Coding & Reimbursement Alert - 2005 Issue 9

READER QUESTIONS: Consider 99291 for RSI Patient

Question: When the ED physician performs rapid sequence induction (RSI) prior to an endotracheal intubation, should I consider the RSI part of procedure 31500, or part of the E/M level or critical care services? Should I report it separately? Utah Subscriber Answer: Code 31500 (Intubation, endotracheal, emergency procedure) does not appear in Appendix G of the CPT book, so from a strict coding perspective, the sedation is not considered an inherent part of the service and you could bill it separately. There is not a code for RSI. The patients who receive this service are usually critical care...

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