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E/M services updates for 2007 - pediatric critical care transport
CPT Assistant, July 2007 Pages: 2,3 Category:
Pediatric Critical Care Patient Transport
The guidelines for codes 99289 and 99290 that are used to report the physical attendance and direct face-to-face care by a physician during the interfacility transport of a critically ill or critically injured pediatric patient were revised.
The list of services and procedures included when pediatric critical care patient transport is reported and that may not be reported separately include the following:
Å¸ Routine monitoring evaluations (eg, heart rate, respiratory rate, blood pressure, and pulse oximetry)
Å¸ The interpretation of cardiac output measurements (93561 and 93562)
Å¸ The interpretation of chest X rays (71010, 71015, 71020)
Å¸ The interpretation of pulse oximetry (94760-94762)
Å¸ The interpretation of blood gases and information data stored in computers (eg, ECGs, blood pressures, hematologic data) (99090)
Å¸ Gastric intubation (43752, 91105)
Å¸ Temporary transcutaneous pacing (92953)
Å¸ Ventilator management (94002-94004, 94660, 94662)
Note from 3M:
As of January 1, 2008, 36540 has been deleted. To report, use 36591
Å¸ Vascular access procedures (36000, 36400, 36405, 36406, 364101, 36415, 36540, 36600)
Any services performed that are not included in this list should be reported separately.
From this list of inclusive procedures and services, codes 94656 and 94657, previously reported for ventilation assist and management, have been deleted. In their place, the new Ventilator Management series 94002-94004 has been added with expanded code descriptors for ventilator management in various settings. Following is the new subcategory of ventilation management codes and the code descriptions that have been added to the Patient Transport guidelines.
94002 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day
94003 hospital inpatient/observation, each subsequent day
94004 nursing facility, per day
Do not report 94002-94004 in conjunction with E/M services 99201-99499.
94005 Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more
Do not report 94005 in conjunction with services 99339-99340 and 99374-99378.
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Karen Maloney, CPC
Data Quality Specialist