tci ED Coding & Reimbursement Alert - 2009 Issue 12

READER QUESTIONS: Find Carve Outs Before Counting Critical Care Time

Question: The ED physician treats a patient suffering from respiratory distress. Notes indicate the patient is acutely dyspneic and requires intubation, which is technically difficult. The intubation takes 20 minutes with various attempts and devices employed. Ultimately, the patient is successfully intubated and placed on a ventilator. The physician also places a central line, which takes 18 minutes. The encounter notes count 94 total minutes. Should I report 99291 and a unit of +99292? Iowa Subscriber Answer: No, you should report only 99291. On your claim you would report the following CPT codes: • 99291 (Critical care, evaluation and...

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