tci E/M Coding Alert - 2017 Issue 2

You Be the Coder: Coding for the First Hour of Critical Care

Question: If the doctor meets the requirements for critical care billing and has spent one full hour with the patient, how would I properly code this for billing purposes? Florida Subscriber Answer: You would use only 99291 (Critical care,  evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) in this situation. Critical care occurs when a physician or other qualified healthcare professional directly provides medical services for a critically ill or critically injured patient. The physician usually provides critical care services in a critical care area like the ICU, CCU, or emergency room...

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