AAPC - Back to school
Results 1 to 5 of 5

Thread: Help with Critical Care

  1. #1
    Join Date
    Apr 2007
    Dallas, TX

    Default Help with Critical Care

    AAPC: Back to School
    My doctor dictates"

    "I agree with the documentation as outlined by ________PA. Ms. patient is critically ill and approximately 1 hour of critical care time was spent in treatment of this patient."

    The PA documents that she and the doctor saw this patient multiple times during the day for a total of 1 hour critical care.

    I just didn't know if the doctor can document his note refering to the PA note for critical care.

    Thanks for the help.

    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  2. #2

    Default critical care

    Shared visits are not allowed for SNF/NF setting, consultations, or critical care.
    I just sat in on a critical care audio conference yesterday and as July 2008 the Medicare regs changed and the initial critical care time must be met by a single physician or NPP.

  3. #3


    Is the PA acting as a scribe? If so, scribe note should be used. I do not believe midlevels are allowed to perform Critical Care. Only physicians

  4. #4
    Join Date
    Apr 2007
    Dallas, TX


    PA's can code for critical care. My question is, both the doctor and PA saw the patient. The doctor billed, my question is in reguards to the documentation. This is what the doctor documented.

    "I agree with the documentation as outlined by __________PA-C. Ms patient is critically ill and 1 hour of critical care time was spent in the treatment of this patient"

    Can he document like this or does he need to state the reason fot cc. The PA's note states the doctors name and that they both spent 1 hour cc time on this patient.


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  5. #5


    Yes, I did read the CMS guidelines and noticed NPs can perform critical care. I guess PAs could also do CC - I did not see anything in guidelines.

    I would agree with Melanie above based on rereading the CMS guidelines. The CC time can not be shared. The physician would need to document the amount of time he/she spent performing critical care.

Similar Threads

  1. E&M Critical Care and Subsequent Hospital Care
    By abbyakinleye in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-10-2016, 01:51 PM
  2. Replies: 2
    Last Post: 05-18-2012, 04:01 PM
  3. Replies: 11
    Last Post: 02-21-2011, 11:06 AM
  4. Replies: 4
    Last Post: 10-19-2010, 09:37 AM
  5. Newborn Care and Neonate/Pediatric Critical Care
    By bobbro in forum Pediatrics
    Replies: 1
    Last Post: 03-03-2009, 03:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.