tci ED Coding & Reimbursement Alert - 2001 Issue 5

You Be the Coder: Billing for CPR

Question: A patient presented to the ED down (in arrest). He was at the facility for 20 minutes, CPR was performed, etc., but he was nonresponsive and died. Because the encounter did not meet critical care time (i.e., at least 30 minutes), we reported 92950 and 99285. Our fiscal intermediary denied the claim, indicating that we did not document that the ED physician actually performed CPR. I am not aware of any situation in which the physician personally performs CPR. Is this correct?California SubscriberTest your coding knowledge. Determine how you would code this situation before looking at...

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