Welcome to SCCM's online resource for coding and billing issues.

Coding and billing for critical care requires knowledge of many different requirements and references, from the critical care CPT codes to CMS guidelines on documentation. Assembled here are a variety of resources designed to help you identify best practices and get answers to specific questions you have.

Contact

Program Development Manager
+1 847-493-6440
pglover@sccm.org

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Coding and Billing for Critical Care, Fourth Edition
An updated version of the Society's practice guide dedicated to reimbursement and administrative management for critical care is now available. The fourth edition contains updated information on non-critical care codes frequently used by critical care providers and material for non-physician providers (NPPs). Click here to order online or call Customer Service at +1 847-827-6888. 

Executive Summary and Examples of Impact of Five-Year Review on Critical Care Services
In August, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for record increases in the relative-value unit (RVU) changes to E/M services. Confused about what this means for critical care? Want to see specific examples of how the changes might affect you? PDF files are now available that provide background and clear examples. Click here for the summary explanation, and click here for samples for adult and pediatric codes.

Hospital Outpatient Prospective Payment System (OPPS) 
Access codes for critical care services. Frequently asked questions regarding how CMS pays for critical care services are available at CMS's Website.

 

Note: You will need Acrobat Reader (5.0 or later versions) to view the submissions. The Reader is available free If you don't have it, you may download it free from Adobe's Web site.