Post ICU billing

Content provided by Judy MacAlister

When a patient is admitted to the ward after ICU, there are specific codes that should be used by the hospitalist that is assuming the patient's care for Day 1 and Day 2 post ICU: 

Day 1 post ICU: C142 + E083 
Day 2 post ICU: C143 + E083 

Note that if you see the patient in the unit, you cannot bill  these post ICU care codes.

To clarify let me share an example: The patient is admitted from the ICU to the ward today.  Primary care is with the physician providing care in the unit for that day. You spend a little time with the patient in the unit before they are admitted to the ward and bill concurrent care.  If you provided this care in the unit and billed C101 (patient seen on a visit to ICU, Pg. GP65 in SOB 2014) instead of concurrent care, then you are unable to bill C142 and C143.  Bill concurrent care for the day of transfer only (do not bill the ICU code C101), then you are able to bill the C142 and C143 as applicable.