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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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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