tci ED Coding & Reimbursement Alert - 2006 Issue 3

READER QUESTIONS: Divvy Up Time for 99291 and 99292

Question: The ED physician spent a lot of time and energy treating a patient, whom he eventually admitted to the ICU. The patient seems to meet the definition of critical care. The doctor is under the impression that he must spend 60 minutes with the patient to report critical care, because he thinks the first 30 minutes can't be included. Is this correct?New Jersey Subscriber  Answer: CPT instructs you to report critical care (99291-99292) for patients in -high probability of imminent or life-threatening deterioration- when the physician provides at least 30 minutes of care. For fewer than...

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