AMA CPT® Assistant - 2004 Issue 10 (October)
Critical Care (October 2004)
October 2004 page 14a Coding Consultation:Questions and Answers Evaluation and Management, 92950, 99291, 99292 (Q&A) Question A critically ill patient was brought to the emergency department where the emergency department physician provided 30 minutes of cardiopulmonary resuscitation (CPR) during the 2-hours of critical care time. How is this reported? AMA Comment Based on CPT coding guidelines, cardiopulmonary resuscitation is reported separately from critical care services, but the time spent performing CPR is not counted toward determining total critical care time. Code 92950, Cardiopulmonary resuscitation (eg, in cardiac arrest), is reported for the 30 minutes of CPR. Codes 99291...
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Article Overview
This CPT Assistant Q&A discusses how a critical care encounter involving cardiopulmonary resuscitation is addressed from a coding and documentation standpoint. It is aimed at coding professionals, auditors, and clinicians who document evaluation and management services, especially in emergency and critical care settings. The article focuses on time-based critical care reporting, separation of CPR from critical care time, and what the record should reflect.
Why This Topic Matters
Accurate reporting of critical care and CPR affects evaluation and management coding and documentation integrity. The article helps readers understand how the service components are discussed in CPT guidance so they can review records with greater confidence.
Article Sections
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Coding Consultation: Questions and Answers
A Q&A-format discussion addressing a critical care documentation and reporting scenario. The section centers on evaluation and management services in an emergency department context.
What You Will Learn
- How this CPT Assistant Q&A frames a critical care reporting scenario
- What broad documentation issues are discussed for time-based critical care services
- How the article presents the relationship between CPR and critical care reporting
- Which coding topics are covered in an emergency department critical care example
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Emergency department clinicians
- Critical care clinicians
Codes Discussed
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