• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

99291

  1. Y

    Wiki CCS MediCal Modifiers -HA & -TG

    Hi all - I am trying to find guidance for the billing and reimbursement of critical care codes, for CCS MediCal. June 1st, the reporting codes changed from Z0100-Z0108 to the use of CPT E/M codes. Modifiers -HA and -TG are to be used on codes 99291 & 99292. By nature of the CCS parameters...
  2. christinav

    Wiki Critical Care Audit Question

    I am currently auditing Critical Care Services and there is a physician who provides the EHR signed document that does not indicate that it is a Critical Care document, but will then Write using a normal pen on the bottom of the last page stating the total time spent providing critical care...
  3. A

    Wiki Specialist called into NCCU-what code would you use?

    We have a solo pediatric infectious disease specialist who sees many neonatal patients in NCCU. All other insurance companies (mostly Medicaid products) pay when he bills 99291/99291 for these patients who are very young and critically ill. We have 1 insurance company that refuses to read and...
    • arosborne
    • Thread
    • 99291 99292 infectious disease nccu pediatric
    • Replies: 2
    • Forum: Pediatrics
  4. B

    Wiki Initial Newborn Coding

    The newborn was fine at birth, but developed problems 3-4 hours later. Our provider wrote his note at age 6 hours and said the baby had respiratory distress. Another provider from the same group saw the baby and wrote her note at age 8 hours, describing critical care treatment. She felt the...
Top