tci ED Coding & Reimbursement Alert - 2004 Issue 10

Reader Questions: Include CPR in Critical Care

Question: A patient came to the ED, and the physician performed cardiopulmonary resuscitation (CPR) and other procedures, but the patient died within a half hour. Should I also bill an evaluation and management code with this? I have documentation to support a level five.   Illinois Subscriber Answer: If the chart documentation supports an E/M service (99281-99285) in addition to CPR, you may bill one with modifier -25 appended. The exception: You can't bill CPR when the physician performs it during minutes you're counting toward critical care time. Remember that when you report critical care, the time...

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