tci ED Coding & Reimbursement Alert - 2022 Issue Q4

Critical Care: Know Nuances When Choosing Between 99285, 99291

Remember, high-level ED E/Ms can resemble critical care. When your provider treats a very sick or injured patient, there is a good chance that they’ll have to perform critical care. That’s not always the case, however. Why? You must meet a minimum time threshold in order to report critical care, and that time can only be spent performing certain duties. Further, there are rules about just how sick or injured a patient must be in order to report critical care. During his recent webinar “Emergency Department Coding Complexities,” Hamilton Lempert, MD, FACEP, CEDC, vice president...

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