tci ED Coding & Reimbursement Alert - 2022 Issue Q1

Vent Management: Can You Justify the Vent Management Code? Check Documentation Before You Bill

Hint: Critical care code may be better choice than 94002 in some cases. When does vent management not justify the vent management code? The answer depends on several factors, including whether critical care occurred during the encounter. Here’s why: If your physician provides initial-day ventilation management services in the course of treating a critically ill or injured patient, be sure you choose the critical care code instead of a ventilation management code or you may not be following the CPT® guidance. When your emergency physician provides ventilation management, it is usually for a patient requiring high-level ED evaluation...

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