tci Part B Insider - 2006 Issue 25

Part B Coding Coach: Don't Get Burned By Critical Care Coding Errors

Hint:  A stay in ICU doesn't always justify a critical care codeThere's more to determining critical care status than the patient's diagnosis, and if you don't look at the big picture, you could risk reimbursement denials and even attract an audit. Use our guidelines to focus in on when to use critical care codes--and learn how to ensure you have all the supporting documentation you need. Look Closely At CPT's Definition of Critical Care Before you use critical care codes 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292...

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