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Brain Dead Patient

Luz Posted Tue 13th of October, 2015 08:27:38 AM

I need your expert advise of what codes to use for the following asked by one of our physician in the critical care unit.

"After patients have been declared dead by brain criteria, there is frequently a lot of critical care decision making that we must do in order to bridge to transplant surgery if they become organ donors."

"In a patient who was declared brain dead, and has not yet determined organ donation status or not, can I bill for critical care?"

Thank you.

SuperCoder Answered Wed 14th of October, 2015 07:09:55 AM

Well, once brain death has been determined, two licensed neurospecialist and/or critical care physician must document it. The notes should state, "Patient is Brain Dead" and should be signed with date and time of declaration. Test(s) performed to determine brain death should also be documented. Hence, when patient is dead, critical care services cannot be billed. As per general guidelines, once patient is in donation status, then pre-donation preparation can be considered into the organ transplantation billing. It is suggestible to check with your payer as well about the same. Hope it helps!

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