tci ED Coding & Reimbursement Alert - 2016 Issue 2

Reader Question: Watch the Clock When Reporting Both Critical Care and CPR

Question: One of our physicians documented critical care time on a patient where CPR and intubation was also performed by the same physician. She documented 60 minutes of critical care time and specified in the documentation that it was exclusive of time spent on CPR and intubation. The physician’s documentation also specified “Family was updated through the course of her ED course. I personally interviewed and updated daughter and nephew, the legal decision makers”. A nurse auditor at the hospital questioned the chart as the patient had a total of 12 minutes “alive” time between procedures...

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