Critical Care Services CPT® Code range 99291- 99292

The Current Procedural Terminology (CPT) code range for Evaluation and Management 99291-99292 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99291- 99292
Critical Care Services
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
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We are struggling with interpreting Medicare's direction when it comes to the time requirements to bill 99292 for Critical Care split/shared. Per the internet-only manual at [URL]https://www.cms.gov/R... [ Read More ]
For the facility, the 99291 (and 99292, if billed) would replace the ED charge, not be billed in addition to it, if this is for a single encounter. Typically, the facility will bill the critical care... [ Read More ]
If a patient presents to the ED and has critical care services 99291.. Does the facility charge the 99291 in addition to the initial ED charge as well as the ED Physician? or Are the 99291 and 99292 o... [ Read More ]
Am I correct in thinking that the only codes that are allowed to be billed as a Split (or Shared) are codes 99202-99215 (Other Outpatient) , 99217-99226 (Hospital Observation), 99221-99239 (Hospital I... [ Read More ]
[QUOTE="richheller, post: 512321, member: 11095"] If our nursing staff documents 120 minutes of critical care time, but our physician only documents 35 minutes of critical care time, can we bill facil... [ Read More ]
If our nursing staff documents 120 minutes of critical care time, but our physician only documents 35 minutes of critical care time, can we bill facility charges 99291 x 1, 99292 x 2, even though the ... [ Read More ]
[QUOTE="chuckd1991, post: 510158, member: 749845"] I don't have experience with that one, but here's some info I found. [URL unfurl="true"]https://www.cgsmedicare.com/partb/pubs/news/2020/05/cope1736... [ Read More ]
I don't have experience with that one, but here's some info I found. [URL unfurl="true"]https://www.cgsmedicare.com/partb/pubs/news/2020/05/cope17364.html[/URL] [LIST] [*]Different specialty: [LIST]... [ Read More ]
An anesthesiologist bills critical care 99291 and then in the same day a critical care provider in the same practice sees the patient for a different primary reason but bills 99292. I have read every... [ Read More ]
The care provided by the cardiologists is part of the global surgical package. If the patient was in the ICU for an unrelated problem, then that would be billable. Excerpts from the [URL='https://... [ Read More ]