tci Medicare Compliance & Reimbursement - 2015 Issue 15

Reader Question: Is it Critical for the ED Physician To Document a Full History for Code 99291?

Question: Does the emergency department (ED) physician need to complete all the HPI, ROS, history, and exam elements in order to bill for critical care time? Answer: No, he doesn’t. You can bill 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…) without the elements that are required for the emergency department evaluation and management (E/M) 99281-99285 codes. Unlike the emergency department evaluation and management codes (99281-99285), with which the documentation needs to satisfy either CPT® or Medicare requirements...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.