CPT® Code 0188T

Deleted

1. Indications

The following indications outline the circumstances under which CPT® Code 0188T is applicable for remote real-time interactive video-conferenced critical care services:

• Critically Ill Patients Patients who are experiencing life-threatening conditions requiring immediate and continuous medical attention.
• Critically Injured Patients Individuals who have sustained severe injuries that necessitate urgent and specialized medical evaluation and management.
• Insufficient On-Site Resources Situations where on-site critical care services are not available or are inadequate to meet the patient's needs.
• Need for Specialized Expertise Cases where the expertise of a specialized physician is required to manage the patient's critical condition effectively.

2. Procedure

The procedure for remote real-time interactive video-conferenced critical care involves several key steps that ensure effective evaluation and management of the critically ill or injured patient:

• Initial Assessment The off-site physician begins by conducting a thorough review of the patient's medical history and current condition. This includes analyzing vital signs, lab results, and any other pertinent information that may influence the treatment plan.
• Video Conferencing Setup The physician utilizes video conferencing technology to establish a real-time connection with the on-site medical team. This allows for direct visual monitoring of the patient and facilitates communication between the off-site physician and the on-site staff.
• Collaboration with On-Site Team The off-site physician engages in discussions with the on-site physician and nursing staff to develop a comprehensive plan of care. This collaborative approach ensures that all aspects of the patient's condition are considered and addressed.
• Monitoring and Intervention Throughout the remote consultation, the off-site physician continuously monitors the patient's condition via video. They assess any changes in the patient's status and may order additional tests or interventions as necessary. This includes initiating changes to the treatment plan based on real-time observations.
• Documentation and Follow-Up The off-site physician documents all findings, decisions, and interventions made during the video consultation. They may also follow up on the patient's progress and adjust the treatment plan as needed, ensuring ongoing care continuity.

3. Post-Procedure

After the remote critical care service has been provided, the patient may require continued monitoring and follow-up care. The on-site medical team is responsible for implementing the treatment plan developed during the video consultation. The off-site physician may remain available for further consultations as the patient's condition evolves. It is essential for the on-site staff to document any changes in the patient's status and communicate these to the off-site physician to ensure that the care provided remains aligned with the patient's needs. Additionally, any interventions ordered during the remote consultation should be carried out promptly, and the outcomes should be monitored closely to assess the effectiveness of the treatment plan.