tci Part B Insider - 2012 Issue 22

Reader Question: Select Critical Care Codes Based on Service, Not Location

Question: After a patient with chest pain "coded" in the ER and was admitted to the ICU, our surgeon saw the patient for a consult. The patient was lethargic and a poor historian, so most of his information came from prior medical records. Our doctor did not document time. Can we charge for critical care since the patient was in the ICU?Answer: No -- you can't bill critical care (99291-99292, Critical care, evaluation and management of the critically ill or critically injured patient ...) simply because the place of service is the intensive care unit (ICU).The service...

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