tci E/M Coding Alert - 2024 Issue Q2

You Be the Coder: Keep CPR, E/M Separate

Question: Can I report an emergency department (ED) evaluation and management (E/M) code along with a code for cardio­pulmonary resuscitation (CPR)? Or is CPR included in the ED E/M package? Idaho Subscriber Answer: Any patient who needs CPR would likely have received critical care services if the documented time threshold of 30 minutes had been reached. Assuming they have not, as in this question, ED E/M code 99285 (Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making) would be justified. Much...

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