tci ED Coding & Reimbursement Alert - 2003 Issue 9

Reader Question: Stick to 99291 and 99292 for Critical Care

Question: In the December 2002 issue of ED Coding Alert, you discussed new pediatric critical care codes and 2003 changes. Would you please clarify whether an ED physician can actually charge for critical care services using the new codes (99293 and 99294)? As stated, those charges are calculated by day rather than by minutes as codes 99291 and 99292 are. Also, if the new codes are billable, can more than one provider bill for those services on a given date? Judging by our experience, these codes appear to apply to inpatient services only. Florida SubscriberAnswer: Sorry for the confusion...

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