tci General Surgery Coding Alert - 2020 Issue Q2

Reader Question: Critical Care is Unscheduled

Question: When our surgeon rounds on a patient in the critical care unit, can we use the critical care E/M codes for the encounter? Nebraska Subscriber Answer: No. To use the critical care codes 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and, if needed, +99292 (… each additional 30 minutes (List separately in addition to code for primary service)), the service must occur when the service is required, not conveniently on rounds. Being in the critical care unit does not necessarily warrant a critical care code. To use the...

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