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Thread: Critical care in Nursing facility

  1. #1
    Join Date
    Apr 2007
    Harrisburg, PA

    Default Critical care in Nursing facility

    AAPC: Back to School
    Is it possible to bill critical care in a nursing facility? I recently took a position as a coder for a internal med grp and this question was asked. I cannot find any reading on if it is allowed or not. Please help. Thanks so much!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Critical Care

    The patient must be critically ill.
    The care provided must be critical care.
    At least 30 minutes of direct face-to-face critical care must be provided (EXCLUSIVE of any procedure - e.g. intubation, CPR)

    Typically this kind of care is provided in an ICU or ER, but it can be provided anywhere. Be sure to have excellent documentation, as you may get a denial for POS.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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