tci ED Coding & Reimbursement Alert - 2009 Issue 4

Reader Questions: Remember, There Is No 'Extra' CPR Time

Question: A 56-year-old disabled patient presented to the ED with nausea, vomiting, and diarrhea, along with extreme weakness. While staff was initiating an IV and blood draw, the patient went into full cardiopulmonary arrest. The notes indicate 43 minutes of critical care time. Outside of that 43 minutes, the physician performed CPR for 66 minutes before the patient finally stabilized. Is there any way to account for the "extra" CPR time? North Carolina Subscriber Answer: No. CPR is not a time-based code, and you are supposed to report the same code regardless of total CPR time. On the claim...

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