In Coding
Jan 17th, 2019
Critical care coding is complex. You need to be certain that documentation supports that the patient has a critical illness or injury. You must be sure that the time reported as critical care does not include separately-billable services. But critical care reporting is truly exceptional for one reason: critical care code 99292 Critical care, evaluation ...
In Coding
Apr 26th, 2017
Critical Care services (99291-99292) are time-based, and improper documentation of time is a frequent reason that payers deny payment for these services. Educating providers to document time appropriately will help to maximize reimbursement and reduce additional documentation requests (ADRs). The American Medical Association (AMA) defines critical care as the direct delivery by a physician(s) or ...
In Coding
Feb 1st, 2016
When calculating time spent performing a procedure or service, include only those items specifically detailed in the code descriptor. For example, when reporting critical care services (e.g., 99291-99292), you may include the time spent interpreting cardiac output measurements or chest X-rays, performing ventilatory management or vascular access, and other services enumerated within CPT® as inclus...
In Coding
Oct 15th, 2015
CPT® defines critical care (99291, +99292) by three components: A critical illness is an illness in which “one or more vital organ systems is impaired such that there is a high probability of imminent or life threatening deterioration in the patient’s condition” A critical intervention involves “high complexity decision making to assess, manipulate, and support ...
Nov 1st, 2014
When choosing codes, factor in age, time, CMS, CPT®, and bundling rules. by Holly Cassano, CPC Proper documentation and coding of critical care services depend not only on the Centers for Medicare & Medicaid Services (CMS) and CPT® guidelines, but also the payer (individual payers may have unique critical care requirements). To help ensure you ...