tci ED Coding & Reimbursement Alert - 2023 Issue Q1

Critical Care Primer: Know the Basics of Critical Care for Optimal Coding

Remember, critical illness or injury is … critical to reporting 99291. Critical care has been news in the coding world the past few months, as the Medicare Physician Fee Schedule (MPFS) final rule issued an important clarification on billing for the codes. Further, critical care is in the spotlight because of what hasn’t changed. While most hospital/inpatient evaluation and management (E/M) services received revised descriptors in 2023, critical care stood fast. The definitions for 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292 (… each additional 30 minutes...

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