tci ED Coding & Reimbursement Alert - 2017 Issue 2

Reader Question: Don't Hurt Yourself Over Coding For Suicidal Ideation in a Patient

Question: Can we report critical care for a patient with suicidal ideation and the reporting of critical care? Our coders have discussed this in depth and have determined that suicidal patients should not be coded as critical care because "Psychiatric" is not an organ system that could be impaired such that there is a high probability of imminent or life threatening deterioration in the patient's condition. What do you think? Utah Subscriber Answer: Critical could be reported if the 99291 time thresholds were met and there were interventions on behalf of a patient in imminent danger of harm. If...

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