tci E/M Coding Alert - 2019 Issue 6

Reader Question: Be Critical When Coding This ED Encounter

Question: A patient became unresponsive in the ED and the physician began critical care but then quickly had to perform CPR. After just a few minutes of CPR the family changed the code status to do not resuscitate (DNR). A morphine drip was started, and the patient was allowed to slowly pass away without any interventions. How should we code this scenario? It started as critical care but then quickly involved CPR followed by simply very basic comfort care. Indiana Subscriber Answer: Since the physician did not provide at least 30 minutes of critical care outside of the CPR...

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