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Critcial Care

Annie Posted Tue 30th of May, 2017 17:30:25 PM
If a patient died and a discharge summary was done can a physician code a critical care instead of a discharge?
SuperCoder Answered Wed 31st of May, 2017 06:02:25 AM

Critical care CPT codes (99291 & 99292) and Hospital discharge day management codes (99238 and 99239) both are time based codes. If provider has provided critical care to the critically ill patient who got expired during the treatment and after that discharged summary was prepared by the same provider who has provided the critical care. In this case, you can bill both the Critical care and Hospital discharge day management CPT codes with modifier 25 on 99238/99239 according to the time spent in both the services separately.

Also, if the provider has only created the discharge summary, then he/she can only bill for 99238/99239.

For better understanding, read the SuperCoder Newsletter from link: https://www.supercoder.com/coding-newsletters/my-cardiology-coding-alert/debunk-3-myths-to-clean-up-your-critical-care-coding-article

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