ED Coding and Reimbursement Alert
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Know What's Included in Critical Care
Published on Mon Jan 09, 2006
When you-re in doubt about whether to bill a procedure separately from 99291 and 99292, consult this handy cheat sheet to keep your reimbursement on the right track. Included in 99291-99292 Separately Billable Services
- Cardiac output (93561-93562)
- Chest x-rays (71010, 71015, 71020)
- Pulse oximetry (94760-94762)
- Computer data (99090)
- Trancutaneous pacing (92953)
- Ventilator management (94656, 94657, 94660, 94662)
- Vascular access (36000, 36410, 36415, 36540, 36600)
- Gastric intubation (43752, 91105)
- CPR (92950)
- Endotracheal intubation (31500)
- Pericardiocentesis
- EKG interpretations
- Central venous catheter placement
Other Articles in this issue of
ED Coding and Reimbursement Alert
- Extinguish These 5 Critical Care Myths
And watch your reimbursement rise from the ashes
If your payment for critical care services leaves [...] - Clip and Save:
Know What's Included in Critical Care
When you-re in doubt about whether to bill a procedure separately from 99291 and 99292, [...] - Milk HPI Info for More Than 1 E/M Category
Here's how to make economic choices with E/M documentation Elements from the physician's review of [...] - Correction
In the article -Don't Skimp on Multiple-Day Observation Care- that appeared in the August issue [...] - Reader Questions:
Ask Payers for Vital Signs Number
Question: Our practice is debating how many vital signs we need documented to count as [...] - Reader Questions:
Wait for Diagnosis to Report Code
Question: Can we code a condition or disease if the physician notes in the documentation [...] - You Be the Coder:
Choose E/M for Fecal Disimpaction
Question: The ED physician performed a manual fecal disimpaction after administering IV MS and Diazepam. [...] - Reader Questions:
Fight for 93010 Claims
Question: Should we charge for contemporaneous EKG readings? If so, what CPT code should we [...] - Reader Questions:
Encourage 'Negative' for ROS and PFSH
Question: I know that the provider can state -all other systems reviewed and negative or [...] - Reader Questions:
Separate Ankle From Foot
Question: I received documentation stating:-Patient presented with small needle embedded in ankle. Physician used a [...] - Reader Questions:
Consider Certainty for Fracture Dx
Question: When a patient presents with a fracture, we usually get an x-ray confirmation before [...] - Reader Questions:
Opt for Dx Over Signs and Symptoms
Question: Can I report signs and symptoms as diagnoses?
Florida Subscriber
Answer: Multiple sources, including both [...] - Reader Questions:
Go Straight to Source for Pain Code
Question: A patient came in to the ED with a chief complaint of -dental wire [...] - Reader Questions:
Avoid 63688 for Neurostimulator Traction
Question: A physician at a pain clinic implanted a spinal cord neurostimulator in a patient, [...] - Reader Questions:
Look at MDM for 99282-99283 Split
Question: We regularly see these two diagnoses:
- dental pain, abscess, no tests, discharged with antibiotic [...]
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