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Critical Care and Pronouncement of Death

  1. Default Critical Care and Pronouncement of Death
    Medical Coding Books
    If my doctor performed critical care on a patient and then the patient expired on the same day, Can I bill a 99291 and 99238 (for the death pronouncement) using a modifier? Any information is appreciated.

    Thank You,

    Kristin B

  2. #2
    Milwaukee WI
    Default You can, but do you want to?
    Yes, you can ... use a -25 modifier on the discharge management.

    But, do you really want to? (Our intensivists do not code both on day of death.) The time spent performing the final pronouncement and attendant charting can all be included in the critical care time.

    Just my two cents.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 03-31-2009 at 11:30 AM.

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