tci General Surgery Coding Alert - 2003 Issue 7

Reader Questions: Reporting Critical Care for Multiple Physicians

Question: My practice has a heavy trauma volume and manages critical care issues for patients whom I have operated on. Can I use critical care codes? If another physician is also using a critical care code on the same day for that patient, can we both use the same code?Florida Subscriber  Answer: Medicare and most private payers will usually pay only one physician for critical care services (99291-99292) administered to a given patient per day. Unfortunately, it is on a first-come, first-served basis. But two physicians critical care charges may be allowed on appeal, with proper documentation...

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