Critical Care and inpatient rounding

patti66

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I work for the hospitalist with over 100 providers, we're on 24/7

If a provider bills a rounding code and something happens later in the day and another provider bills critical care, can you bill for both? And would you append a -25 to the rounding or CC?
What if it's an admission or discharge and critical care?
 

cgaston

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99291/99292 can be billed on the same date as another E&M code. However, The note must have the Critical Care attestation on it and the length of time spent providing critical care services to a critically ill patient in order to qualify for 99291/99292.

If your provider performs services in the Critical Care Unit that do not qualify for 99291-99292 they cannot be billed on the same day as another E&M code.
 

patti66

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99291/99292 can be billed on the same date as another E&M code. However, The note must have the Critical Care attestation on it and the length of time spent providing critical care services to a critically ill patient in order to qualify for 99291/99292.

If your provider performs services in the Critical Care Unit that do not qualify for 99291-99292 they cannot be billed on the same day as another E&M code.
would you append the modifier to the rounding code or CC?
 

cgaston

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The Critical Care codes have a higher RVU value so I would append it to the rounding code.
 
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