tci E/M Coding Alert - 2020 Issue Q2

Reader Question: Be Critical of These Codes in CCU Situations

Question: When our provider rounds on a patient in the critical care unit (CCU), can we use the critical care E/M codes for the encounter? South Carolina Subscriber Answer: Just because the physician sees a patient in the CCU doesn’t mean you can automatically use a critical care code. To use the critical care codes 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and, if needed, +99292 (… each additional 30 minutes (List separately in addition to code for primary service)), the patient must be critically ill or injured...

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