Medical Coding Rights

Clinical Examples - Critical care services An 85-year-old male patient is admitted to the intensive care unit following abdominal aortic aneurysm resection. Two days after surgery he requires fluids and pressors to maintain adequate perfusion and arterial pressures. He remains ventilator-dependent. A 66-year-old female patient is 4 days status post mitral valve repair. She develops petechiae, hypotension, and hypoxia requiring respiratory and circulatory support. A 72-year-old male admitted for right lower lobe pneumococcal pneumonia with a history of COPD becomes hypoxic and hypotensive 2 days after admission. A 58-year-old admitted for an acute anterior wall myocardial infarction continues to have symptomatic ventricular tachycardia that is marginally responsive to antiarrhythmic therapy Clinical Examples - Non Covered Critical care services The Patients admitted to a critical care unit because no other hospital beds were available. The Patients admitted to a critical care unit for c

Critical care is the direct delivery by a physician(s) or other qualified health care professional of medical care for a critically ill or critically injured patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition.  Critical care services include the treatment of vital organ failure or prevention of further life-threatening conditions.  Delivering medical care in a moment of crisis and in time of emergency is not the only requirement for providing Critical Care services. Examples of vital organ system failure include, but are not limited to, Central nervous system failure,  Circulatory failure,  Shock,  Renal, hepatic, metabolic, and/or respiratory failure.  Critical care may be provided on multiple days, even if no changes are made in the treatment rendered to the patient, provided that the patient's condition continues to require the le