tci ED Coding & Reimbursement Alert - 2006 Issue 1

Extinguish These 5 Critical Care Myths

And watch your reimbursement rise from the ashesIf your payment for critical care services leaves something to be desired, your practice may be inaccurately reporting these services based on correctable misconceptions. Take stock of these common 99291-99292 pitfalls to make sure you-re not falling prey to critical care no-no-s. Myth #1: Since critical care is the highest level of E/M, you need to satisfy all the E/M elements. Reality: Actually, 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292 (- each additional 30 minutes [list separately in addition to...

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