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CPR and Critical Care for the Facility Component

Kelly Posted Wed 02nd of October, 2019 12:34:24 PM
Can the hospital component be reported for CPR separately when performed with critical care, as long as the time spent providing CPR is not included in the calculation for the CC time?
SuperCoder Answered Thu 03rd of October, 2019 08:22:25 AM

Hi,

 

Thanks for your question.

 

According to CMS, CPR has a global period of 0 days and is not bundled into critical care codes.  Therefore, critical care may be billed in addition to CPR if critical care was a significant, separately identifiable service and it was reported with modifier -25. The time spent performing CPR shall be excluded from the determination of the time spent providing critical care. 

 

CPR (92950) is non-E/M service that includes performing or supervising chest compressions, adequate ventilation of the patient.

 

Hope this helps.

 

Thanks.

Kelly Posted Thu 03rd of October, 2019 10:27:53 AM
What about the documentation requirements for CPR performed during CC? Does the time spent providing CPR have to be documented in order for the facility to report the CPT code for CPR?
SuperCoder Answered Fri 04th of October, 2019 07:58:16 AM

Hi,

The levels of critical care are determined by time; when CPT® code 92950 is reported, the time required to perform CPR is not included in critical care. Additional procedures provided by ED staff or consultants supported by ED staff are separately billable by the hospital in addition to critical care as long as the time spent performing these procedures is removed from the time used to determine critical care.

You can find more reference on the topic on the link below. If you are unable to open the article, please do let us know. We will provide you with the article of Supercoder.

https://www.supercoder.com/coding-newsletters/my-emergency-medicine-coding-alert/facility-coding-ace-your-critical-care-coding-pay-attention-to-trauma-to-avoid-future-drama-128664-article

https://www.acep.org/administration/reimbursement/reimbursement-faqs/cardiopulmonary-resuscitation-cpr-faq/#question8

Thanks.

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