Pulmonology Coding Alert

Billing 99291-99296? Follow This Decision Tree

Choose critical care code based on location, age, and setting

If you're not sure which code to use when your pulmonologist provides critical care, start by looking at the place of service to determine your coding path.

To bill the place-specific code, follow this chart to the most appropriate code in any scenario.

Warning: Failing to take all details into account could take you down the road to denials. Use this easy-to-follow decision tree, reviewed by Carol Pohlig, BSN, RN, CPC, senior coding and education specialist at the University of Pennsylvania department of medicine in Philadelphia, Pa. next time you face your critical care scenarios.