tci Part B Insider - 2021 Issue Q2

Reader Question: Know the Settings Where Critical Care Can Be Reported

Question: Our physicians often perform critical care (99291-+99292) when they do rounds in the intensive care unit, but we are curious about whether we can bill these codes for services performed in a standard hospital room or in the office. Is that something we can bill with 99291? Maryland Subscriber Answer: Yes, you can report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) in the outpatient setting, as long as you meet the requirements of the code. The provider must be directly delivering medical care for a critically ill or...

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