AAPC - Back to school
Results 1 to 3 of 3

Thread: critical care and d/c same date

  1. #1
    Join Date
    Apr 2007

    Default critical care and d/c same date

    AAPC: Back to School
    If a patient is seen for a critical care earlier in the day then passes away later in the day can a critical care and a discharge be billed on the same day?

  2. #2
    Join Date
    Apr 2007
    New Delhi, India


    If the critical care is provided in ED setting, DC is not codeable. If it's inpatient or observation, there are codes for them.
    Girish Dadhich, CPC

  3. #3
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    We can only assume the patient was OBS or Inpatient - it would be really hard to defend as the time for the D/C would be added to the total critical care time and coded together. Critical Care does not have to run consecutively - it can be added up for the DOS.

    You have to consider it equal to billing CC early in the day and then doing a subsequent service later that day. That is not billable.

    But is is correct if rounding was done at the start of the day and if the patient goes critical later in the day. Both could be billed separately with a mod-25 added to the 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. Normal newborn care and ill care on the same date
    By dpeterson39 in forum Pediatrics
    Replies: 2
    Last Post: 05-18-2009, 09:27 AM

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.