So the patient is in the ICU but isn't critically ill?
I'm guessing your intensivist thinks s/he should code the consult AND critical care. This is incorrect.
If the patient is critically ill, and the physician is providing critical care, then the critical care codes should be used. If the patient is NOT critically ill but requires intensive monitoring you COULD use a consultation code, or a subsequent hospital visit code, depending on how the request for care was worded. If the patient is a neonate you can use the NICU codes for a patient requiring intensive monitoring, who is not critically ill (usually low weight).
If you are using the pediatric or neonatal intensive care codes you would use INITIAL if it is the first day the child is receiving intensive care. Otherwise, you would use subsequent.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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