tci E/M Coding Alert - 2016 Issue 4

Critical Care: Max Out Pay by Separating Certain Services from Critical Care

Experts: You’ll often see these separately reportable services on 99291 claims. Determining if your physician provided service that qualifies for critical care coding is your first step in deciding whether or not to report 99291. Not so fast: There’s more to consider, however, if you want to optimize your legit reimbursement possibilities. Some services your provider might perform during critical care are separately reportable from 99291 (Critical care,evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and 99292 (… each additional 30 minutes [List separately in addition to code for primary...

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