tci ED Coding & Reimbursement Alert - 2011 Issue 7

Reader Question: Code Vent Management If Physician Completes Procedure

Question: A 65-year-old inpatient in the hospital's intensive care unit (ICU) goes into acute respiratory failure. The nurse practitioner (NP) calls an ED physician to the unit to urgently intubate the patient. The physician places the patient on a ventilator and then calls in a pulmonologist to manage the patient. The pulmonologist examines the patient, reviews pertinent clinical data, initiates and documents the ventilator settings. The pulmonologist also orders needed services to monitor the patient. Final diagnosis is acute respiratory failure. Can I code ventilation management for my ED physician's services?Montana SubscriberAnswer: You should solely code for the...

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