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tci General Surgery Coding Alert - 2011 Issue 5
You Be the Coder: E/M: Service Drives Critical Care
Question:After a patient with chest pain "coded" in the ER and was admitted to ICU, our surgeon saw the patient for a surgical consult. The patient was lethargic and a poor historian, so most of his information came from prior medical records. Our surgeon did not document time. Can we charge for critical care since the patient was in the ICU?North Carolina SubscriberAnswer:No -- you can't bill critical care simply because the place of service is the intensive care unit (ICU). The service you describe would be an inpatient consultation, such as 99251-99255 (Inpatient consultation for a new...
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