In Coding
Sep 26th, 2016
A patient with respiratory failure may require endotracheal intubation (31500 Intubation, endotracheal, emergency procedure) for airway support. Patients with clinical conditions such as drug overdose, sepsis, and some neurological conditions also may require intubation for airway protection. The clinical note may reflect symptoms such as hypoxia, tachypnea, and respiratory distress. Documentation ...
In Coding
Feb 1st, 2016
When calculating time spent performing a procedure or service, include only those items specifically detailed in the code descriptor. For example, when reporting critical care services (e.g., 99291-99292), you may include the time spent interpreting cardiac output measurements or chest X-rays, performing ventilatory management or vascular access, and other services enumerated within CPT® as inclus...
In Coding
Sep 19th, 2014
CPT® provides a single code to report endotracheal intubation—31500 Intubation, endotracheal, emergency procedure—but application of this code isn’t always straightforward. Per CPT® and National Correct Coding Initiative (NCCI) guidelines, 31500 describes an emergency endotracheal intubation and should not be reported for elective endotracheal intubation. CPT Assistant (Dec. 2009) clarifies, “Code ...
Feb 1st, 2014
Accurate reporting requires identifying all procedures performed beyond the initial E/M. By Sarah Todt, RN, CPC, CPMA, CEDC Physicians in the emergency department (ED) very often perform procedures in addition to evaluation and management (E/M) services. Integumentary procedures such as laceration repair, burn treatment, or incision and drainage are common, as are orthopedic procedures such ...
Jun 1st, 2010
By Holly J. Cassano, CPC As a Certified Professional Coder (CPC®) who supports emergency department (ED) physicians, I am often asked how to code appropriately for the physician component of critical care services in the ED. In response, I created these 10 commandments of critical care coding in the emergency room (ER). 1. Thou Shalt ...