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lexiscan and 1 hour time spent at bed side with chest pain

Monica Posted Fri 08th of November, 2013 16:46:14 PM

patient has reaction of chest pain numbness and shortness of breath. can I bill 1 hour of critical care since IV was started and 1 hour supervision with patient

SuperCoder Answered Fri 08th of November, 2013 17:57:02 PM

This sounds more like observation codes 99218-99220. Critical care coding documents "a critical illness or injury that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patients condition. Examples are, central nervous system failure, circulatory failure, shock, renal, hepatic, metabolic, and/or respiratory failure." If this was in the ER, code the appropriate ER code or observation code. Critical care is not appropriate.

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