AMA CPT Knowledge Base - Feb 22, 2013

We have two physicians in our practice. Physician A and Physician B share their intensive care unit (ICU) and operating room (OR) responsibilities. Physician A may care for an unstable, acutely ill inpatient overnight through noon the next day, and then turn over the care to his partner, Physician B, to care for the patient from noon through the next night. Physician A performs 1 hour of critical care time before noon, and Physician B provides another 30 minutes of critical care evaluation and management later in the afternoon. On other days, they may have the same arrangement for intraoperative neurophysiologic monitoring (IONM). For example, four extremity somatosensory evoked potentials are set up as a baseline, and then monitored for six hours continuously online in real time from a monitoring room near the OR. Physician A monitors the potentials until noon, and Physician B takes over the monitoring after noon. How do these physicians code for their services?

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