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CODE 99291 AND 99231

Melissa Posted Wed 11th of September, 2013 17:53:29 PM

CAN I CHARGE OUT A 99291 AND 99231 ON THE SAME DAY.

SuperCoder Answered Fri 13th of September, 2013 09:31:10 AM

Not Possible. The reason -

Code 99291 represents the first “hour” of critical care, which physicians may report after accumulating the first 30 minutes of care. Alternately, physician management of the patient involving less than 30 minutes of critical-care time on a given day must be reported with the appropriate evaluation and management (E/M) code:

Initial inpatient service (99221-99223);
Subsequent hospital care (99231-99233); or
Inpatient consultation (99251-99255).

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