tci ED Coding & Reimbursement Alert - 2006 Issue 11

Reader Question: Physician Presence Required for CPR Direction

Question: Our ED physician got a call from an EMS worker who was en route to the hospital with a patient in cardiac. The patient had a brief period of CPR in the field and was then declared a priority four. He was brought to the ED and then to the morgue. Can I bill for the CPR that took place by EMS?Kentucky SubscriberAnswer: Actually, you cannot report CPR in this scenario. The encounter does not meet the criteria for the code. What you may be able to do, however, is report a low-level evaluation and management service...

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