AMA CPT® Assistant - 2016 Issue 8 (August)

Evaluation and Management: Critical Care Services (Q&A) (August 2016)

August 2016 page 9 Evaluation and Management: Critical Care Services Question: How should the following scenario be reported in a facility? Physician A saw a patient early in the day and provided 50 minutes of critical care service. Physician B (colleague from the same group and medical specialty) saw the same patient later in the day and provided 35 minutes of critical care service. Total time of critical care services = 85 minutes. Answer: If the critical care services are provided to the same patient on the same calendar day, then it is appropriate for the facility to report...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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