ED Coding and Reimbursement Alert
Critical Care Time
Question: I have an encounter form in front of me that’s a bit confusing. Notes indicate that the ED physician performed 84 minutes of care for a critically ill patient. During the 84 minutes, the physician took 25 minutes to order and interpret a two-view chest X-ray and performed 25 minutes of ventilatory management. Can I report 99291 and +99292 for this encounter? Or should I submit some other code combination? Idaho Subscriber Answer: Yes, you can report 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292 (… each additional 30 minutes (List separately in addition to code for primary service)) on the claim. If you thought you would have to subtract the X-ray and vent management from the total critical care time, rest easy. Both of these services are specifically bundled into code 99291 are considered part of the critical care package.
ED Coding and Reimbursement Alert
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