tci ED Coding & Reimbursement Alert - 2006 Issue 11

Reader Question: Forget POS When Answering Critical Care Question

Question: Our physician provided 100 minutes of critical care to a patient having a stroke. This encounter did not take place in the critical care unit, however. The physician treated the patient in an observation unit. Can I still report critical care for this session?Texas Subscriber Answer: Yes, you can report critical care codes for this service. On the claim,- report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) for the first 74 minutes of critical care.- report +99292 (... each additional 30 minutes [list separately in...

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