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Clarifications on critical care billing card

8/1/2017

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I wanted to clarify that the previous critical care billing card posted is a reference as a reminder that you *may* have performed critical care.  It is not an absolute "if A then B."

As per usual, your documentation must support that you spent 31 minutes or greater solely dedicated to the care of the patient and that they had a critical organ or life threat.

In reference to the previously posted critical care card, our coding support team has identified a few items that alone would not be sufficient to claim critical care:
  • D50W (>1 dose)
  • Glucagon
  • Haldol IV or IM
  • Lasix (>1 dose)
  • Oxytocin
  • "Use of BiPAP, CPAP, or high flow oxygen via mask"
  • Bolus of 2L NS for adults or 20cc/kg for pediatric patients
  • Tranfusion of blood or blood products
  • Warming Blanket
  • Patients who require BiPAP, CPAP, or high flow oxygen
  • Patients who require endotracheal intubation with or without vent management
  • Activated Charcoal
  • Venemous snake bite
  • Anemia with active bleeding
  • Need for more than 1 IV Haldol or Ativan for agitation or violent behavior control


They have provided us with MedData's "Critical Care Descriptors: Description that highly suggest critical care" PDF that I have attached.  Please reference this PDF as well.

REMEMBER: THESE ARE ONLY REMINDERS THAT ARE HIGHLY SUGGESTIVE THAT YOU PERFORMED CRITICAL CARE.  YOUR DOCUMENTATION MUST ALSO REFLECT THAT YOU SPENT A DEDICATED >31 MINUTES SOLEY ON THE PATIENT'S CARE.
​
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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • Fellowships at CMC
    • Ultrasound
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
  • PEOPLE
    • Program Leadership
    • Current Chiefs
    • PGY-3
    • PGY-2
    • PGY-1
    • Recent Grads >
      • Class of 2023
      • Class of 2022
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Incentive Shifts & Moonlighting >
      • AEC Incentive Shifts
      • STICU Moonlighting
      • MICU X moonlighting
      • Cardiac Rehab >
        • Pineville Cardiac Rehab
        • Union Cardiac Rehab
    • Schedules >
      • Block Schedule
      • ED Shift Schedule
      • Conference and Resident Lectures
      • Journal Club
      • CQR
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction
    • Off Service Rotators