BC Advantage - 2023 Issue 9

Coding Critical Care Services in 2023

Critical care services refer to the delivery of medical care to the critically ill or injured patient by a qualified physician or other qualified healthcare professional (QHP). Current Procedural Terminology (CPT) defines a critical illness or injury as one that "acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition." Centers for Medicare and Medicaid Services (CMS) defines critical illnesses or injuries as "those with acute impairment to one or more vital organ systems with an increased risk of imminent or life-threatening health deterioration...

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