Codes for reporting pediatric critical care services are unchanged in 2018. However, the prefatory language to the inpatient neonatal and pediatric critical care service codes is revised in 2018. The revision is intended to clarify when it is permissible to separately report critical care services provided by more than one physician or provided before and after admission on the same date. Questions from physicians and coders indicate there is still some confusion about which services are separately reported. The examples in this article are offered to help clarify reporting based on Current Procedural Terminology (CPT®) instruction.

First, it is important to identify some key terminology that affects coding for critical care services.

Critical care services may be provided in multiple locations and/or by multiple physicians and providers on the same date. The following examples illustrate coding for multiple critical care services:

Outpatient critical care on the same...

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