Results 1 to 4 of 4

Brain death exam

  1. #1
    Exclamation Brain death exam
    Medical Coding Books
    Has anyone heard of a brain death exam? I have a Neurosurgeon who said he performed one. He said he performed 2 discreate exams several hours apart. Eash exam included the following elements: 1) coma or unresponsiveness 2) absence of brain stem reflex 3) ocular movement 4) facial sensation and motor response 5) pharyngeal and tracheal reflexes 6) apnea test. I have not been able to find any code that would fit this. Two codes that I found that may fit this is billing for critical care or hospital discharge services (he did pronounce the patients death). Any suggestions are GREATLY appreciated.
    Last edited by klbecker; 10-13-2011 at 01:05 PM.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Hospital E/M
    It will either be hospital subsequent visits, critical care (IF he documented time and it is more than 30 minutes face-to-face), or discharge (IF he pronounced the death).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default
    But what if the provider did critical care earlier in the day and then later performs a brain death exam? Can the provider still get credit for the brain death exam and if so what code would that be?

  4. Default
    Quote Originally Posted by klbecker View Post
    Has anyone heard of a brain death exam? I have a Neurosurgeon who said he performed one. He said he performed 2 discreate exams several hours apart. Eash exam included the following elements: 1) coma or unresponsiveness 2) absence of brain stem reflex 3) ocular movement 4) facial sensation and motor response 5) pharyngeal and tracheal reflexes 6) apnea test. I have not been able to find any code that would fit this. Two codes that I found that may fit this is billing for critical care or hospital discharge services (he did pronounce the patients death). Any suggestions are GREATLY appreciated.
    Was this perhaps done by EEG? There is a death determination EEG. Look at 95824 and see if this helps you.

Similar Threads

  1. MRI Brain with "Gradient echo (brain) for blood"
    By marci_ann in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-01-2011, 10:00 AM
  2. Brain Death,Apnea screening
    By daniel in forum Emergency Department
    Replies: 0
    Last Post: 09-21-2010, 02:42 PM
  3. brain death study
    By srinivas r sajja in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-30-2008, 10:45 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?

Login

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.