tci General Surgery Coding Alert - 2004 Issue 8

Reader Question: Selecting 99291 Means Better Reimbursement

Question: Are there any advantages to choosing critical care codes rather than high-paying E/M codes? For instance, the surgeon spends an hour at the bedside of a vehicle-accident trauma patient who is too unstable to undergo surgery. Should we choose 99291 or 99223? Pennsylvania SubscriberAnswer: You may be better off choosing critical care codes, but only if the service meets the documentation requirements to report 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]). As...

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