Results 1 to 2 of 2

Critical Care/Palliative Care

  1. #1
    Default Critical Care/Palliative Care
    Medical Coding Books
    Is anyone willing to share thoughts or comments about billing for critical care when the encounter involves withdrawl of care in a patient in a terminal state? My thought is this type of service is counter to the definition of critical care.
    Jenny Berkshire, CPC, CEMC, CGIC

  2. #2
    Milwaukee WI
    Default I would agree with you
    Withdrawal of life support is definitely not critical care.

    In order to use the 99291-99292 codes you must meet BOTH conditions:
    1) Patient must be critically ill (a terminal patient probably meets this definition)
    2) Care provided must be critical care (i.e. to support organ function critical to life).

    I would code the appropriate hospital visit code, with prolonged service if applicable; or discharge codes if provider is present to pronounce the patient.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. E&M Critical Care and Subsequent Hospital Care
    By abbyakinleye in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-10-2016, 01:51 PM
  2. Replies: 0
    Last Post: 08-05-2014, 09:06 AM
  3. Replies: 2
    Last Post: 05-18-2012, 04:01 PM
  4. Replies: 4
    Last Post: 10-19-2010, 09:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.