Wiki Critical Care rejection for 99292

[Mindy Davis]

We are getting some rejection when we multiple 99292 on our bill. Our 99291 and our 1st 99292 listed gets paid. But any addtl 99292 is denied. Should we be putting a modifier -51 on the second 99292 or should we only list 1 99292 and add the extra in the units box??

Thanks

Mindy Reagan CPC

 

[mitchellde]

99292 is a time service and should be billed with units. Timed services or drugs should be billed with units but surgical services should not be billed with units.

 

[linwill3]

I bill Critical Care and I bill the addl 99292 with units as stated above. My billing comes on a bill sheet and when my physicians bill for more than 3 hrs of critical care, I check their documentation to make sure they documented their time. Most insurance companies will want notes when billing for a lot of time.

 

[Austgen]

it should be billed 99291, 99292 X 2