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critical care facility reporting

  1. #1
    Default critical care facility reporting
    Medical Coding Books
    Does the same apply for physician and facility reporting? see below.

    Critical care reporting for physician providing critical care
    ******CPT Assistant, February 2007 Page: 10 Category: Coding Communication
    ******Related Information

    What services are included in reporting critical care when performed during the critical period by the physician(s) providing critical care?

    AMA Comment:

    The following services are included in reporting critical care and are not reported separately: interpretation of cardiac output measurements (93561, 93562), chest x-rays (71010, 71015, 71020), pulse oximetry (94760, 94761, 94762), blood gases, and information data stored in computers (eg, ECGs, blood pressures, hematologic data [99090]); gastric intubation (43752, 91105); temporary transcutaneous pacing (92953); ventilatory management (94002-94004, 94660, 94662); and vascular access procedures (36000, 36410, 36415, 36540, 36600).

  2. Default
    yes it applies for both pro and facility

  3. #3
    So do you remove the bundled items completely off the bill or would you still report with a $0.00 charge?

  4. Question
    so, let me ask...critical care code is reported on facility ? I understood it was only physician side....please set me straight on this....thanks!

  5. Default
    In the ER, critical care is reported both on the pro side and fac side. However, the facility side has to have any one of the following:
    Multiple parenteral medications requiring constant monitoring
    Provision of any of the following:
    Major Trauma care/ multiple surgical consultants
    Chest tube insertion
    Major burn care
    Treatment of active chest pain in ACS
    Administration of IV vasoactive meds (see guidelines)
    Defibrillation/ Cardioversion
    Administration of ACLS Drugs in cardiac arrest
    Bi-PAP/ CPAP
    Endotracheal intubation
    Ventilator management
    Arterial line placement
    Control of major hemorrhage
    Pacemaker insertion through a Central Line
    Delivery of baby

  6. Wink
    thank you for the info..

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