CPT Knowledgebase - Feb 2, 2023

When a critical patient receives critical care on the same day that the parents decide to de-escalate care due to poor prognosis, does the time spent de-escalating care count as critical care time? For example, a critical patient is maintained on ventilator and inotropes by the pediatric provider. After discussion with multiple specialties, the parents decide to withdraw support and transition to comfort care. Total time of CC treatment at this point is two hours. The airway is removed, inotropes discontinued, and medications are administered to make the patient comfortable. Three additional hours are spent de-escalating and ensuring the patient is comfortable before the patient expires.

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