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tci ED Coding & Reimbursement Alert - 2017 Issue 3

Ventilator Management: No Need to Vent. Use 94002, 94003 if Chart Documentation Doesn't Support an E/M Service

But your emergency physician will rarely provide just ventilator management. If your physician provides initial-day ventilation management services in the course of treating a critically ill or injured patient, be sure you choose the critical care code instead of a ventilation management code or you may not be following the CPT® guidance. When your emergency physician provides ventilation management, it is usually for a patient requiring high-level ED E/M service, subsequent hospital care, or typically in most cases, even critical care.  The reason: Ventilation management, when performed, is bundled into the critical care code (and most other E/M...

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