CBLENNIE
Expert
I have a curious situation where an ER physician billed 99291 twice on the same date of service, but at 2 different servicing facility locations. Both facilities are part of the same major hospital system in our area, the first facility is a small medical center and only has an emergency room, the second claim was submitted for the main hospital which is our area’s trauma center.
I know that 99291 is supposed to be limited to one time per day per physician but the CPT guidelines do not address whether this limit applies if the provider renders these services at 2 different facility locations. Can the physician bill a unit of 99291 for each servicing location where services are provided to the patient?
If anyone has any reference materials to point me towards an answer to this question, I would greatly appreciate the information.
I know that 99291 is supposed to be limited to one time per day per physician but the CPT guidelines do not address whether this limit applies if the provider renders these services at 2 different facility locations. Can the physician bill a unit of 99291 for each servicing location where services are provided to the patient?
If anyone has any reference materials to point me towards an answer to this question, I would greatly appreciate the information.