DecisionHealth, DecisionHealth - 2022 Issue 5 (May)

The risk of a critical illness does not justify critical care coding

Remind your providers and coders to reserve critical care codes (99291-99292) for the treatment of patients who are currently critically ill. The risk or expectation that a patient will need critical care services during a hospital stay does not meet the definition for the time-based, high-intensity and high-revenue service.

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