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Thread: Critical Care coding -Urgent help

  1. #1

    Default Critical Care coding -Urgent help

    AAPC: Back to School
    I'm coding for hospitalists. Dr. A was called for consult on post op HTN while patient was in ICU-- Dr. A coded 99291 and did not document time. Dr. B from same hospitalists group reviewed HTN tx with Dr. A on same date and documented cc time of 30 minutes. Should I only code for Dr. B since this doc documented time and code nothing for Doc A?

  2. #2

    Default response

    Critical care services can only be billed out if the physician is giving one-
    on-one care to a patient during a life-threatening illness. Time from beginning
    to end MUST be documented by the physician, or you cannot bill for critical
    care. Remember-if it isn't documented, it didn't happen! Refer to the infor-
    mation in your CPT book under critical care services.
    -MBC professor

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Dr A gets a consult

    Depending on the documentation Dr A may be able to code a consultation. If there is no face-to-face critical care time documented then you cannot bill critical care codes. Also, just because the patient is in the ICU does not mean that the care provided by Dr A is critical care.

    Look at the documentation and see if you can code a consultation.

    F Tessa Bartels, CPC, CEMC

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