What is not a bundled service when performed with critical care?
Services such as endotracheal intubation (CPT code 31500) and the insertion and placement of a flow directed catheter e.g., Swan-Ganz (CPT code 93503) are not bundled into the critical care codes.
What are the bundled procedures in critical care?
Differentiate Separate vs.\n\n Documentation should clearly differentiate where the provider's time was spent. Be aware of what has been documented when ventilator management is performed for COVID-19 cases since these are bundled services.
How to find out what services are included in critical care?
Your CPT book has a listing of all items/services that are included in critical care directly under the Critical Care description. Great reference and as another poster commented, check with CMS as well.
Is critical care performed in a hospital setting?
While “critical care is typically performed in a hospital setting, there is nothing in the book that states it is limited to the hospital setting,” adds Donelle Holle, RN, president of Peds Coding Inc., and a healthcare, coding, and reimbursement consultant in Fort Wayne, Indiana.
Can I bill Medicare for critical care and inpatient hospital services?
Keep in mind that Medicare does allow you to bill both critical care codes and an inpatient hospital service performed on the same day, if the patient becomes critical after the inpatient hospital care has been rendered.