Read the guidelines in CPT for critical care carefully.
The patient must be critically ill (may or may not be in the ICU).
The care provided must be critical care.
The care must be face-to-face (includes unit/floor time in an inpatient setting) for at least 30 minutes. (Time MUST be documented in the note.)
Writing on the encounter form or patient list is not official documentation.
Simply stating that the patient is in the ICU is not sufficicient documentation.
(and, conversely, you CAN provide critical care to a patient who is NOT currently in the ICU ... happens in the ED all the time.)
Hope that helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join