E/M Coding Alert - 2012 Issue 11
Reader Question: Not all critical care time must be face to face
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Article Overview
This Find-A-Code article addresses a reader question about reporting emergency department critical care in a transfer case involving urgent cardiac care. It explains the general topic of how physician time is counted when care is coordinated across providers and settings, and why documentation and code selection matter for emergency medicine billing professionals.
Why This Topic Matters
Questions about critical care time affect emergency department and hospital billing accuracy, especially when patients move quickly to another setting before a full critical care time threshold is reached. The article helps coders and physicians understand the scope of documentation and timing considerations in urgent care encounters.
Article Sections
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Question
A reader describes an emergency transfer case and asks how physician time should be considered for critical care reporting when the patient is quickly moved for further treatment.
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Answer
The response discusses general critical care time concepts, documentation considerations, and related emergency department code-selection context for a rapidly managed patient encounter.
What You Will Learn
- How critical care time may be viewed when care is coordinated across multiple providers
- Why bedside presence is not the only factor in reporting critical care time
- What general documentation considerations may support emergency department coding
- How rapid transfer to another unit or procedure area can affect code selection
Who Should Read This
- Emergency department physicians
- Hospital coders
- Professional fee coders
- Billing compliance staff
- Revenue cycle professionals
Codes Discussed
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