AMA CPT® Assistant - 2022 Issue 3 (March)

Questions and Answers (March 2022)

March 2022 page 12 Questions and Answers Evaluation and Management: Critical Care Services Question: Is it appropriate to report Current Procedural Terminology (CPT®) critical care services codes when patients are admitted to the critical care unit (CCU) for postoperative monitoring due to a high risk of compromise? In such cases, it has been observed that physicians or other qualified health care professionals (QHPs) order frequent monitoring (eg, neurologic checks post-cranial surgery or cardiorespiratory monitoring every hour), which is performed by nursing staff. Is monitoring alone sufficient to support critical care services? The terms “manipulate” and “support” used in...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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