AMA CPT® Assistant - 2003 Issue 2 (February)

Evaluation and Management Critical Care Services (February 2003)

February 2003 page 15 Coding Consultation:Questions and Answers Evaluation and Management Critical Care Services, 99291-99296 (Q&A) Question In CPT 2003, the instructions for critical care services state that critical care services provided to patients 31 days up through 24 months of age should be reported with pediatric critical care codes 99293-99294, apparently without regard for the site of service. However, from the CPT description of codes 99293-99294, it appears that these codes are meant to represent each "full day's" service provided by the same physician for a single date, upon admission and the inpatient course thereafter. This is...

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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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