critical cate in ED - new rules in 2009?

kviolet

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Hi all!
I'm looking for an answer what code should I use for critical care ED pt 22 month.
Do we have to use diffrent set of codes than 99291-99292?
how about for neonatal?
Thanks
 

ARCPC9491

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Outpatient critical care for all ages is reported with 99291-99292. Inpatient for children 6 years or older is also reported for 99291-99292. Inpatient for younger than 6 years is reported with codes 99468-99476.

Hope that helps.
 

kviolet

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but what codes should I use in outpatient ED critical care pt less that 6 y/o?

but what codes should I use in outpatient ED critical care pt less that 6 y/o?
Thanks
 

kviolet

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The computer system does not allow me enter the code because of age
I do not know what to do?
 

kviolet

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well I am doing the compliance only and I am the one who put the codes but the person who enter in to the system says that can not enter if pt is less than 6 y/o
name of sysstem is TES
 

ARCPC9491

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well my only recommendation is to contact the vendor or the person in your department who handles these issues, and have them update your system. Until then, you're stuck.
 

LTibbetts

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2009

Actually, I did hear from my supervisor recently that you can not use critical care codes in the ER anymore. I bill for CAH, though, so our rules may differ.
 

mitchellde

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I have heard nor read anything like this. Critical care codes can be used with ER codes and are not age specific as stated above. This does appear to be an IT issue which definitly needs to be addressed.
 
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