tci ED Coding & Reimbursement Alert - 2002 Issue 12

Are You Underplaying the Critical Care Codes?

You don't need a medical disaster to report codes for critical care in the emergency department. If you're overly cautious about assigning them, you're losing out on a key resource for ED reimbursement. Code 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) is the "most underreported code in the ED," says James Blakeman, senior vice president of Healthcare Business Resources in Bala Cynwyd, Pa. Most emergency departments reserve 99291 and +99292 (... each additional 30 minutes [list separately in addition to code for primary service]) for only the most...

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