Wiki Critical Care time clarification

[camcg0174]

I need some clarification regarding the rule of care being "15 minutes" in addition to the first 74 minutes billed. If a patient is seen for 80 minutes, how would that be billed?

99291 for the first 74 minutes
99292 for the next 6?

Please help, Medicare guidlenes state tht there must be an additional 15 minutes before billing 99292, however, I have seen conflicting information elseware.

Thanks,
CM

 

[rlamprea01]

Total Duration of Critical Care Codes:

Less than 30 minutes - 99232 or 99233 or other appropriate E/M code
30 - 74 minutes - 99291 x 1
75 - 104 minutes - 99291 x 1 and 99292 x 1
105 - 134 minutes - 99291 x1 and 99292 x 2
135 - 164 minutes - 99291 x 1 and 99292 x 3
165 - 194 minutes - 99291 x 1 and 99292 x 4
194 minutes or longer - 99291 – 99292 as appropriate (per the above illustrations)