Wiki Facility Side Critical Care in the ED

Messages
1
Location
Lakefield Township, Michigan
Best answers
0
Hello - I am having a difficult time determining when I can code 99291 (Crit Care) for the facility side of an ED Visit. I am not able to find coding guidelines for this. Could someone please share with me how you determine if Critical Care applies for the facility side.
 
You need to look at the hospitals policy for facility E/M charging. According to CMS, charging an E/M for facility is allowable, but only if there is a policy established by the hospital. CMS doesn't have a set policy like they do for profee E/M charging.
 
If our ED Physicians documents "critical care time" (How many minutes) we then use that code. In their ED Note they will say " I spent ____ minutes providing critical care with this patient".
 
Top