tci ED Coding & Reimbursement Alert - 2009 Issue 7

READER QUESTIONS : Proper Dx Code Secures Post-Op 99291 Claim

Question: A patient who had heart surgery Monday is in the hospitals intensive care unit. The unit calls the ED physician Tuesday morning, when the patient suffers acute respiratory failure. The physician provides 66 minutes of critical care for the patient. How do we code for this, being that the ED physician did not perform the initial surgery? Massachusetts Subscriber Answer: Youll be able to report the critical care even though it occurs in the global period of another procedure -- just make sure to append the proper modifier to the code, and to include a diagnosis code that...

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