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Thread: Critical Care/Palliative Care

  1. #1
    Join Date
    Apr 2007

    Default Critical Care/Palliative Care

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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

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