tci ED Coding & Reimbursement Alert - 2016 Issue 11

You Be the Coder: Can You Invoke The Acuity Caveat for a Critical Care Case?

Question: Does invoking the ED acuity caveat impact assigning critical care for the patient in the following case? Texas Subscriber Chief Complaint: Fever and unresponsive HPI: Unable to attain from patient. This 82-year-old male arrives from a nursing home. He is unresponsive and has a full code order. Report from nursing home is that the onset of symptoms was gradual and persistent. The current symptoms are severe. ROS: Unable to obtain due to patient unresponsiveness and the severity of the presenting symptoms. Physical Exam: Constitutional:Vital signs reviewed. Patient is clearly uncomfortable.Head: Normocephalic and atraumaticEyes: Pupils equal round and...

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