tci ED Coding & Reimbursement Alert - 2001 Issue 8

Reader Question: Critical Care by Nonadmitting ED Physician

Question: If one ED physician admits a patient to observation care and another ED physician provides critical care to that patient while he or she is in observation, can the doctor providing the critical care bill for this service?New Hampshire Subscriber  Answer: Essentially, the answer is yes. The ED physician who provides critical-care services can bill for them, but it is important to ensure that critical care is being provided. CPT 2001 revised its terminology to help clarify the critical-care issue and make it easier to determine what is considered critical care.  Critical-care codes 99291 and...

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