tci ED Coding & Reimbursement Alert - 2005 Issue 9
READER QUESTIONS: Report Critical Care for Code Blue
Question: If the ED physician responds to an inpatient code blue and performs critical care on the patient, should I report a critical care service or one of the subsequent hospital care codes? Documentation in the chart supports enough time for 99291.Arkansas Subscriber Answer: If you have adequate documentation to support billing a critical care service--including the time spent--report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes). The codes representing subsequent hospital care (99231-99233) are appropriate in two cases: - The physician's services didn't satisfy the definition of critical...
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