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Thread: critical care facility reporting

  1. #1
    Join Date
    Apr 2007

    Default critical care facility reporting

    AAPC: Back to School
    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. #2


    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. #4
    Join Date
    Apr 2007


    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. #5


    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. #6
    Join Date
    Apr 2007


    thank you for the info..

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