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Thread: critical cate in ED - new rules in 2009?

  1. #1

    Default critical cate in ED - new rules in 2009?

    AAPC: Back to School
    Hi all!
    I'm looking for an answer what code should I use for critical care ED pt 22 month.
    Do we have to use diffrent set of codes than 99291-99292?
    how about for neonatal?

  2. #2


    Outpatient critical care for all ages is reported with 99291-99292. Inpatient for children 6 years or older is also reported for 99291-99292. Inpatient for younger than 6 years is reported with codes 99468-99476.

    Hope that helps.

  3. #3

    Default but what codes should I use in outpatient ED critical care pt less that 6 y/o?

    but what codes should I use in outpatient ED critical care pt less that 6 y/o?

  4. #4


    Outpatient critical care for all ages is reported with 99291-99292

  5. #5


    The computer system does not allow me enter the code because of age
    I do not know what to do?

  6. #6


    Is your software updated for 2009?

  7. #7


    well I am doing the compliance only and I am the one who put the codes but the person who enter in to the system says that can not enter if pt is less than 6 y/o
    name of sysstem is TES

  8. #8


    well my only recommendation is to contact the vendor or the person in your department who handles these issues, and have them update your system. Until then, you're stuck.

  9. #9



  10. #10
    Join Date
    Apr 2007
    Bangor, Maine

    Default 2009

    Actually, I did hear from my supervisor recently that you can not use critical care codes in the ER anymore. I bill for CAH, though, so our rules may differ.

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