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Lori Posted Mon 10th of April, 2017 14:14:19 PM
First Critical care physician assessed patient in ED and admitted to CCU--another critical care physician assessed patient (same tax id, same group) after initial assessment within the first 24 hours of patient being admitted. How would that be coded? 99291 & 99292? or a different set of codes? Criteria was met for Critical care codes to be used.
SuperCoder Answered Tue 11th of April, 2017 07:04:25 AM

Greetings from SuperCoder.com!

 

Critical care is a time- based service. Payment for critical care services is not restricted to a fixed number of hours, days, or physicians. Only one physician may bill for critical care services during any one single period of time even if more than one physician are providing care to a critically ill patient.

 

You should use CPT code 99291 to report first 30-74 minutes of critical care on a given calendar date of service. You can only use this code once per calendar date to bill for care provided for a particular patient by the same physician or physician group of the same specialty.

 

Please feel free to write if you have any concern or questions.

 

Thanks.

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