Neurology & Pain Management Coding Alert

Who's Eligible for Critical Care?

Some examples of patients who might receive neurocritical care E/M services include patients with the following diagnoses:

  • Cerebral vascular occlusion/stroke (434)
  • Hydrocephalus (742.3)
  • Intracerebral hemorrhage (431)
  • Myasthenia gravis crisis (358.01)
  • Spinal cord injury (952)
  • Status migrainosus (346)
  • Status epilepticus (345.3)
  • Subarachnoid hemorrhage (852.1)
  • Traumatic brain injury (V80.01).

Caveat: A patient suffering from one of the listed conditions does not necessarily need critical care. The key to critical care patients is the potential for rapid deterioration without immediate physician intervention.

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