AHA Coding Clinic® for HCPCS - 2010 Issue 4; FOR your INFORMATION

Change in Critical Care Codes

For CY 2011, the introductory guidelines for Critical Care Services CPT codes have been revised to specifically state that, for hospital reporting purposes, critical care codes do not include the specified ancillary services (e.g. cardiac output measurements, chest x-rays, blood gases, ECGs, ventilatory management, etc.) and that facilities may report those services separately. Beginning in CY 2011, hospitals that report in accordance with the CPT guidelines will begin reporting all of the ancillary services and their associated charges separately when they are provided in conjunction with critical care. The Centers for Medicare & Medicaid Services (CMS) has...

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