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Wiki Defibrillation in procedure

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Cyndi113

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Hello all,

Having a "discussion" with an MD about non elective defibrillation during a cath. Patient crashed and non-elective defibrillation done to revive patient. MD is insistent that we bill for it. Insistent that we find way to bill this. Help with explanation, please? Does anyone have any documentation to help? Already gave her documentation about elective defib. Don't know where to go from here. Have pulled in another coder as well as our lead.
 
I believe this would be considered providing critical care, which would be only be separately billable if the amount of time spent was 30 minutes or greater. If it was less than this, then I might suggest a modifier 22 on the cath procedure if the documentation details the amount of extra time and work that the intraoperative complication added to the procedure?
 
Try coding for CPR, along with what you did during the cath. You can't code for external cardioversion 92960 because it was not elective.
HTH,
Jim Pawloski, CIRCC
 
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