Pulmonology Coding Alert

CPT considers many services part of the critical care package When deciding whether your pulmonologist provided critical care services, you’ll need to ask questions about patient status to determine whether the services actually represent critical care. If you decide a patient did not receive critical care services, you’ll need to rely on other E/M service codes. Once you have identified an encounter as critical care, you need to meticulously document the critical care time in order to file a proper claim, and you also need to decide which services are part of the critical care package and which ones are separately reportable. Further, you must identify any additional E/M services the physician provides. There’s a lot to keep straight when you are reporting critical care. Check out this advice on how you can ethically maximize reimbursement for your critical care claims. Make Sure Patient Is Critically Ill or Injured You’ll [...]