tci ED Coding & Reimbursement Alert - 2023 Issue Q1

MPFS Final Rule: CPT®, CMS Still Split on Critical Care Add-On

Count on coders to use correct payment rules. The 2023 Medicare Physician Fee Schedule (MPFS) final rule is still yielding information that will be of interest to ED coders — and everyone who codes critical care. The lowdown: The Centers for Medicare & Medicaid Services (CMS) tucked a technical correction into this year’s final rule, clearing up a lack of clarity and consistency regarding CMS policy on when you can report critical care add-on code +99292 (Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to...

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