Critical Info About Critical Care Coding

Pay close attention to how you code critical care visits (CPT® codes 99291-99292) as CMS has replaced all previous critical care payment policy language and added general Medicare evaluation and management (E/M) payment policies impacting payment for critical care services.

Look for changes made regarding calculation of critical care time and clarifications in language related to time spent reviewing or discussing patient information and off the unit/floor and split/shared service discussions.

For a detailed explanation of changes, read CMS transmittal R1548CP and MLN Matters article MM5993 on the CMS Web site.


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