AHA Coding Clinic® for HCPCS - 2006 Issue 4

CMS creates new HCPCS code for trauma team activation associated with critical care services

Although the Centers for Medicare & Medicaid Services (CMS) has chosen not to adopt two proposed HCPCS codes for critical care services, CMS has responded to the apparent confusion regarding the reporting of critical care services. Many commenters apparently believed that a 30-minute minimum did not currently apply when reporting critical care services with CPT code 99291, Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes. This misunderstanding appeared to stem from a previous CMS statement regarding the packaging of CPT code 99292, Critical care, evaluation and management of the critically ill...

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