tci General Surgery Coding Alert - 2023 Issue Q2

E/M: Hone Critical Care Coding With CPT® and Medicare Rules

Don’t unbundle 99291 services. Just because CPT® 2023 didn’t revise critical care codes doesn’t mean you’re off the hook for updating how you report these services. Backstory: CPT® 2023 revised most hospital/inpatient evaluation and management (E/M) codes (See General Surgery Coding Alert Vol. 24 No. 12, “Embrace E/M Shift to Time or MDM”), but critical care codes 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 service)) stood fast. At...

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