Wiki Critical Care in ED

[Carol.Reinhardt@sanfordhealth.org]

Can you bill critical care time in the ED if the patient was discharged? The provider documented time in his documentation

 

[jimbo1231]

You can

CC for a patient who is discharged is rare but can occur. A severe asthma attack with PO BELOW 92 requiring multiple interventions, IV meds, oxygen etc might be an example. Since the payer might be skeptical about CC with discharge, you might want to send documentation with the claim.
Again it should be a rare occurrence. I had a client years ago calling every USA critical care. Nasty audit followed!

Jim S.

 

[Suriya Narayanan]

You can bill CC for discharged patient if documentation supports for pt's condition is threatened to their life and presence of aggressive management .

 

[twizzle]

CC for a patient who is discharged is rare but can occur. A severe asthma attack with PO BELOW 92 requiring multiple interventions, IV meds, oxygen etc might be an example. Since the payer might be skeptical about CC with discharge, you might want to send documentation with the claim.
Again it should be a rare occurrence. I had a client years ago calling every USA critical care. Nasty audit followed!

Jim S.

Agree with the scenario described by jimbo1231. Also CC may have been implemented but the patient expired. The patient would technically have to be discharged from the ED (although no such code exists).