tci ED Coding & Reimbursement Alert - 2010 Issue 9

Critical Care Tips: Check With Payer Before Considering +99292 Rules

Some recommend a '15-minute rule' on critical care add-on.When providing critical care, the ED physician might perform extended critical care that allows you to report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ...) and +99292 (... each additional 30 minutes [List separately in addition to code for primary service]).If you report +99292, you'll add about $110 to your claim (2.99 transitioned facility relative value units [RVUs] multiplied by the Medicare conversion rate of 36.8729.).Caveat: Even though you can technically report +99292 for even...

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