When can we start calculating time when coding CC for the facility? Once the intervention has started OR if an intervention is provided, can we start counting the 30 minutes (time) at the time of the vitals (first time recorded)?
This would be if we do not have a provider note with time documented. We follow ACEP facility guidelines, which state that we can code CC if we have interventions and we have 30 minutes or more documented by provider or staff member (nursing notes).
The bottom line to the question is: once an intervention is done, do we start time then or can we start time at the time of the first vitals recorded by nursing staff?
Thank you for your assistance,