tci Part B Insider - 2006 Issue 9

CRITICAL CARE: Post-Op Health Crisis? You Can Bill Separately For Critical Care

Pay attention to diagnosis codes, time-based documentationYou may think you should write off reimbursement for critical care that happens during the global period for a surgery--but you could be losing out on valuable services.Example: A patient with non-reducible, right-sided inguinal hernia, CHF, and controlled Type II diabetes comes to the hospital for a hernia repair. Three hours after the operation, the patient shows signs of shortness of breath, problems urinating, cyanotic extremities and an irregular pulse. Soon after the physician arrives at the patient's bedside, the patient goes into cardiac/respiratory arrest, and the physician resuscitates the patient using...

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