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E/M Coding:

Check Thresholds for Critical Care Code Reporting

Published on Fri Dec 19, 2025

Question: Two critical care providers saw a patient on the same day. I reported 99291 for “my” provider, as they spent 28 minutes with the patient. The documentation says that the other provider spent 40 minutes with the patient earlier in the day. Why was my claim denied? Texas Subscriber Answer: According to information available from the Medicare Learning [...]
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