tci ED Coding & Reimbursement Alert - 2024 Issue Q1

E/M Coding: Time Is of the Essence When Reporting Critical Care

Know how to count critical care minutes. Proper documentation and coding of critical care services are essential components of the ED billing process and have been covered in this publication many times. Clear and accurate documentation ensures that the emergency physician receives appropriate reimbursement for the complex and time-intensive care they provide to critically ill or injured patients. Professional coders who specialize in emergency medicine are well-versed in the criteria that must be met when reporting CPT® codes 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292 (… each...

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