Otolaryngology Coding Alert

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Quick-Reference Critical Care Chart

Make reporting critical care easy with this simple chart. Check the physician's documented total critical care time per date of service to choose the correct units of 99291 and 99292. Duration of care                                                   Code(s) Fewer than 30 minutes                                                 Other appropriate
                                                                                        E/M Codes 30 minutes to 1 hour, 14 minutes                                99291 1 hour, 15 minutes to 1 hour, 44 minutes                   99291, 99292 1 hour, 45 minutes to 2 hours, 14 minutes                 99291, 99292 x 2 2 hours, 15 minutes to 2 hours, 44 minutes               99291, 99292 x 3 2 hours, 45 minutes to 3 hours, 14 minutes               99291, 99292 x 4 3 hours, 15 minutes to 3 hours, 44 minutes               99291, 99292 x 5 For critical care time lasting beyond the examples listed here, simply add one unit of 99292 for each additional 30 minutes, in the same manner illustrated in the chart.
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