tci E/M Coding Alert - 2020 Issue Q4

Reader Question: Get Critical With This Threshold Guideline

Question: Which code should we report if the physician sees a critically ill patient for less than 30 minutes? Our pulmonologist worked with a critically ill COPD patient, and even after tallying floor time and discussions with other practitioners, we only get to 20 minutes. Florida Subscriber Answer: A service lasting fewer than 30 minutes does not meet the critical care guidelines, since even the lowest level of critical care (99291, Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) requires you to at least meet the 30-minute time threshold. Therefore, you...

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