tci E/M Coding Alert - 2015 Issue 8

You Be the Coder: Same-Day E/M and Critical Care

Question: We had a patient with a history of angina report to the emergency department (ED) at 8 a.m. Thursday complaining of chest pain. Encounter notes indicate that the physician performed a level-four ED E/M service before discharging the patient with a diagnosis of acute angina. At 2:30 p.m. Thursday, the ambulance brought the patient back to the ED due to a myocardial infarction (MI). The same physician provided 49 minutes of critical care to the patient. Can we report both the early E/M service and the critical care? Texas Subscriber Answer: Yes. First, report 99291 (Critical...

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