tci ED Coding & Reimbursement Alert - 2014 Issue 7

You Be the Coder: Code Critical Care and Additional Services When Warranted

Question: The ED physician spends a total of 115 minutes caring exclusively for a critically injured patient who has suffered a stroke of the carotid artery and an acute anterolateral wall acute myocardial infarction (AMI).  The physician orders rapid sequence intubation to facilitate breathing, and uses a sequence of drugs during the intubation: 5 mg of intravenous Versed and 150 mg of IV succinylcholine. The intubation took 16 minutes, and the physician spent the other 99 minutes of the encounter time at the patient’s bedside or conversing with his wife to get medical information the patient cannot...

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