tci ED Coding & Reimbursement Alert - 2000 Issue 5

Case Study: Coding When Nonresponsive Cardiac Patient Dies in ER

A critically ill, unconscious patient brought into the emergency department (ED) provides special challenges to the ED clinical staffmedical history is unobtainable without the presence of an accompanying family member, and examination and treatment of the patient is difficult because the patient cannot communicate. In addition, because the patient is critically ill, the ED staff may act quickly and according to standards of emergency medical practice to preserve the patients life. The staff must carefully document the specifics of the medical encounter to enable the coders to report the appropriate level of medical care given to these seriously ill...

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