AAPC - Back to school
Results 1 to 3 of 3

Thread: Critical care help

  1. #1
    Join Date
    Apr 2007

    Default Critical care help

    AAPC: Back to School
    I am posting this for a friend of mined who is not a member, but she reads the post.

    Two physicians saw the same patient on the same day. Dr. D admitted the patient to ICU at 4:20pm and billed a 99291 (dx: Seizures, HTN, GI bleed, Alcohol withdrawal). Dr. M was called in and saw the patient at 11:15 pm, spent 60 minutes with the patient in ICU, and billed 99291 (diagnoses: Alcohol withdrawal, HTN, cardiac dysrhythmia, open wound of tongue). What should Dr. M bill?
    Karen, CPC
    Physician Chart Auditor

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default He already billed

    Maybe I'm reading your scenario wrong, but I thought Dr M already billed 99291.

    Are both physicians in the same practice, same specialty? Then they will be considered the same doctor so all the time should be added together and billed under one physician (take your pick Dr A or Dr M) using the appropriate 99291 and 99292 codes.

    If they are different practices or different specialties in the same practice, they can each use the 99291 code as per the time they individually documented.

    Hope that answers the question.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Thanks Tessa -

    I just re-read it, You're right Dr. M already billed 99291. I believe she's asking if it was the right code.
    Karen, CPC
    Physician Chart Auditor

Similar Threads

  1. E&M Critical Care and Subsequent Hospital Care
    By abbyakinleye in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-10-2016, 01:51 PM
  2. Replies: 2
    Last Post: 05-18-2012, 04:01 PM
  3. Replies: 11
    Last Post: 02-21-2011, 11:06 AM
  4. Replies: 4
    Last Post: 10-19-2010, 09:37 AM
  5. Newborn Care and Neonate/Pediatric Critical Care
    By bobbro in forum Pediatrics
    Replies: 1
    Last Post: 03-03-2009, 03:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.