tci ED Coding & Reimbursement Alert - 2007 Issue 5

Submit Separate Reports for Critical Care and E/M Claims

What you need to know about a little-known, correct coding strategyAlthough critical care codes are evaluation and management services themselves, there are some instances when you can code for critical care services and an additional ED E/M (99281-99285) on the same claim.In the December 2006 CPT Assistant, -CPT clarified that an E/M and critical care may be reported when both are performed [in the same session],- says Jim Blakeman, senior vice president at Emergency Groups Office in Arcadia, Calif. However, to avoid denials, you are best served to include separate documentation for each service, experts say.Consider...

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