tci Part B Insider - 2013 Issue 29

Critical Care: 99291 vs. 99292: Check for Documentation of Time Before Selecting A Code

Critical care coding can be easy with these quick tips. Whether your providers perform critical care services once a year or once a day, if you only look for the place of service and not the patient’s condition, you’ll set yourself up for inappropriate billing of critical care codes. Read on to know more about when you can bill critical care services and other associated services provided to the same patient on the same day. Assess Patient’s Criticality Ensure that the patient’s condition qualifies as critical. CPT® guidelines state that “critical care is the...

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