tci General Surgery Coding Alert - 2015 Issue 12

Reader Question: Fulfill Critical Care Criteria to Use Codes

Question:One of the surgeons in our practice thinks that when he rounds on a patient in the intensive care unit (ICU), we should bill critical care codes. Is it correct to use these codes just because the patient is in critical condition? Louisiana Subscriber Answer: No, you should not bill the 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]) simply because the place of service is the ICU and the patient...

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