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Janet Posted Tue 07th of January, 2014 16:18:53 PM

Can you charge CCT when discussing problems with patients family members?

SuperCoder Answered Mon 13th of January, 2014 21:14:50 PM

Please clarify CCT. I want to be more clearer on this.


Janet Posted Wed 22nd of January, 2014 11:37:10 AM

Our physician wants to charge 60 minutes of critical care time for discussing the pts. treatment options with the family. The pt in intubated.

SuperCoder Answered Wed 22nd of January, 2014 15:31:54 PM

Thanks for clarifying! I was thinking cardiac computed tomography, which didn’t fit the question very well.

It’s possible, but it depends on the situation. CPT guidelines state, “when the patient is unable or lacks capacity to participate in discussions, time spent on the floor or unit with family members or surrogate decision makers obtaining a medical history, reviewing the patient's condition or prognosis, or discussing treatment or limitation(s) of treatment may be reported as critical care, provided that the conversation bears directly on the management of the patient.”

Note that intubation is not enough by itself to qualify for critical care codes. CPT guidelines state, “A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition. Critical care involves high complexity decision making to assess, manipulate, and support vital system function(s) to treat single or multiple vital organ system failure and/or to prevent further life threatening deterioration of the patient's condition.” … “For any given period of time spent providing critical care services, the individual must devote his or her full attention to the patient and, therefore, cannot provide services to any other patient during the same period of time.” You can have critical care and other E/M services on the same date.

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