tci Part B Insider - 2008 Issue 14

Part B Coding Coach: Hone Your Critical Care Coding Skills Now, Avoid Denials Later

Watch for life-threatening conditions before reporting 99291-99292Your physician documents that a patient suffered a serious -critical- injury and underwent major surgery. You should report a critical care code along with the procedure code because the patient was critically ill, correct? Wrong.You must meet all three of the following key criteria to report critical care services:1. The patient must meet the definition of critically ill or critically injured. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition.2. The...

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