AMA CPT® Assistant - 2009 Issue 7 (July)

Evaluation and Management/Critical Care Services (July 2009)

July 2009 page 10 Evaluation and Management: Critical Care Services, 99291 (Q&A) Question: If a patient is in a critical care unit, is it always appropriate to report the critical care codes? Answer: No. The use of critical care codes is dependent upon the services received as required by the critical nature of the patient's condition, not merely the fact that the patient is admitted to the critical care unit. Services for a patient who happens to be in a critical care unit, but is not critically ill are reported using other appropriate E/M codes (eg, initial or...

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