Presented by: Dr. John Stimler, DO, CPC, CHC, FACEP
Total Run Time: 47:19
AAPC Approved for 1.0 CEUs and/or CEDC, CPEDC, CEMC and CPMA Specialty Credits
Coding pediatric E/M levels including Critical Care codes 99291 and 99292 is governed by the American Medical Association’s (AMA) CPT® guidelines, as well as the Centers for Medicare & Medicaid Services’ (CMS) 1995 Documentation Guidelines for Evaluation and Management Services. While these guidelines ensure ED coding is consistent across our nation’s EDs, because pediatric ED visits and treatments are often unique and not always well represented by documentation guidelines, particularly regarding MDM, pediatric ED visits are sometimes undervalued.The key to collecting adequate reimbursement for pediatric Critical Care services is in first recognizing Critical Care-type cases, and then documenting and coding them appropriately. This webinar focuses on pediatric ED patient presentations and specific case types that – assuming proper documentation as a baseline – qualify for application of Critical Care code 99291.
Topics that are address include:
• What qualifies for Critical Care and what doesn’t?
• Pediatric Critical Care benchmarks
• Pediatric Critical Care vital signs, lab results, and medications
• Top 25 Critical Care diagnoses in 0 to 6 year-old patients
• Top 25 Critical Care diagnoses in 7 to 17 year-old patients