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99285, 99291

  1. Default 99285, 99291
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    Can we code 99285 & 99291 for a patient on the same date of service for the same ER physician? If yes, kindly let me know the criterias.


  2. #2
    Milwaukee WI
    Default Documentation must stand alone
    The documentation for each visit must stand alone. Nothing used in documenting the 99285 (nor the time required for performing/documenting) can be used in documenting 99291. And vice versa.

    Personally I would just code the 99291 if the requirements for that service were met and documented. Reimbursement is usually better for this code than for even the highest level of ER services.

    NOTE that time spent in performing procedures (e.g. intubation, thoracentesis) can NOT be counted in the critical care time. These procedures should be separately reported.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default 99285,99291
    Thanks that was of great help to me.


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