Wiki Critical Care & Discharge Same Day?

[jocarter]

I have a physician who provided critical care 99291 and then later the same day the patient passed away. The physician feels he should be able to bill the discharge 99238 for the pronouncement of death and paperwork.... I can not find any good clear infomation that states you can or can not bill 99291 & 99238 together same day..

Does anyone have any thoughts on this?

Thank you

 

[maddismom]

If the physician provided (and properly documented) critical care and the patient later (in the day) passed away, it would be appropriate to bill the critical care and then the discharge if they saw the patient and did the pronouncement, etc. (again properly documented). Put your mod 25 on your discharge code.

 

[Pam Warren]

There's nothing that says you can't as long as the documentation is there, according to our carrier (NHIC).

 

[theresa.dix@tennova.com]

There's nothing that says you can't as long as the documentation is there, according to our carrier (NHIC).

Pam,
I am trying to find more information on this subject. Can you direct me where NHIC says this?
Thanks