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critical care

Annie Posted Sun 10th of August, 2014 13:07:23 PM

If a provider sees a patient that morning and documents cc time 35minutes then comes back that same day that evening and documents 35 min cc time. Do I just give him the 99291 for the whole day or do he gets the additional 99292 code also.

SuperCoder Answered Mon 11th of August, 2014 02:34:17 AM

Critical care time may be performed in a single period of time or be cumulative by the same provider on the same calendar date.

99291 represents 'Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes'.

Since, cumulative time spend by your provider is not crossing 74 minutes, you may not report add on code 99292.

Code 99292 is used to report additional block of time of up to 30 minutes each beyond the first 74 minutes of critical care.

Hence, you may only bill code 99291.

Thanks !!

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