tci E/M Coding Alert - 2020 Issue Q2

Specialty Spotlight: Understand These Criteria for Correct Peds Critical Care Coding

Beware of bundling difference between the two, experts say. Because “critical care is … determined … by the nature of the care being delivered and the condition of the patient, pediatric critical care patients must meet the same clinical criteria as adults.” That was the big takeaway from the presentation “NICU and Peds - Coding for Everyday Challenges” that Jessica Miller, CPC, CPC-P, CGIC, Manager of Professional Coding for Ciox Health in Alpharetta, Georgia delivered during HealthCon 2020. That means understanding those criteria, and what is bundled into pediatric critical care, is critical to coding it...

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