tci E/M Coding Alert - 2019 Issue 3

You Be the Coder: Get Critical With Bundled Critical Care Services

Question: I am new to coding. Can you help me understand what constitutes as critical care? Also, I once read that there is a specific list of services bundled into 99291, but I don’t remember what they are. New Mexico Subscriber Answer: Critical care, codes 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)), occurs when a physician or other qualified healthcare professional directly provides medical services for a critically ill or critically injured...

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