tci ED Coding & Reimbursement Alert - 2005 Issue 4

Reader Questions: No Admission Necessary for 99291

Question: Can we report critical care codes for a patient who isn't admitted to the hospital? The physician performed one lab and several x-rays, and the diagnosis could be a critical condition. The doctor marked "critical care 99291 or 99292" on t-sheet, and then discharged the patient.Indiana Subscriber Answer: Yes, you can - there is no requirement that critical care patients be admitted for you to report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) or +99292 (... each additional 30 minutes [list separately in addition to code for...

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