Wiki Critical Care Code 99291

smithdk01

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I have a physician that billed a critical care code of 99291 for a patient that I know if critically ill. However, when pulling his progress notes, it states that his PNA with spesis are improving and his chest x-ray shows improvement. Yes, the physician does document his time as 45 minutes. with him using the words "improved" and "improvement" would this still qualify as a critical care code?

Thanks.
 
Could be

The patient can show improvement but still be critically ill. It would depend on the entire documentation.

F Tessa Bartels, CPC, CEMC
 
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