tci ED Coding & Reimbursement Alert - 2001 Issue 10

You Be the Coder: Two Physicians Share Critical-Care Case

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: An ED physician and an admitting physician both spend enough time with a critically ill patient to bill for critical-care services, but the ED bill is rejected because the carrier already paid a critical-care charge to the admitting physician for that visit. How should I code this? Illinois Subscriber Answer: The crux of the question is whether 99291 (the first hour of critical care) can be billed under two different tax ID numbers on the same day...

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