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Critical Care Code 99291

  1. #1
    Default Critical Care Code 99291
    Medical Coding Books
    I have a physician that billed a critical care code of 99291 for a patient that I know if critically ill. However, when pulling his progress notes, it states that his PNA with spesis are improving and his chest x-ray shows improvement. Yes, the physician does document his time as 45 minutes. with him using the words "improved" and "improvement" would this still qualify as a critical care code?


  2. #2
    Milwaukee WI
    Default Could be
    The patient can show improvement but still be critically ill. It would depend on the entire documentation.

    F Tessa Bartels, CPC, CEMC

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