tci ED Coding & Reimbursement Alert - 2008 Issue 11

You Be the Coder: Pediatric Critical Care in the ED

Question: The ambulance brings an unconscious 1-year-old child to the ED. The mother reports that she went to check on the child while he was sleeping, and found him unresponsive. After performing CPR, the ED physician performs 45 minutes of critical care, during which time he takes chest X-rays and performs pulse oximetry. How do I report this encounter? Connecticut Subscriber Answer: First, let's address what you should not report. Do not make the mistake of coding 99293 (Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29...

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