tci E/M Coding Alert - 2023 Issue Q3

Specialty Spotlight: Figure Out Whether an Encounter Involves Critical Care

Hint: Intubation isn’t bundled into 99291 and +99292. When patients report to the emergency department (ED) with a potentially critical illness or injury, certain questions will arise surrounding the scenario that will have to be answered in order to code the claim correctly. Examples: Does the visit qualify for critical care, or should I report an ED evaluation and management (E/M) service instead? What services can I report separately in addition to the E/M care? How do I choose a diagnosis code for this patient? Failure to miss the mark on even one of these questions can send...

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