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Critical Care Coding

  1. Default
    Medical Coding Books
    I dont know how else to explain this. Cathyflower, you can code 99291 and 99292 for this 75 minutes

    99291 is for the first 60 minutes of CC
    99292 is the each additional 30 minutes of CC

    In order to code either of these you must meet the defined time by 1/2 way. So in order to code 99291, you must have at least 30 minutes.

    In order to code the 99292 for each additional 30 minutes, you again must meet this code 1/2 way at 15 minutes

    The reason 99291 is stated as 30-74 minutes is because that is 1 minute short of meeting the 1/2 mark to code 99292. At 74 minutes you have 60 minutes for 99291 with only 14 minutes left over. That 14 minutes does not meet the 1/2 way mark in order to code 99292. You are one minute short.

    If you have 70 minutes----10:00 to 11:10---code 99291. Thats 60 minutes. The left-over 10 minutes does not meet the 1/2 mark required to code 99292

    If you have 75 minutes---10:00 to 11:15----code 99291 and 99292. Thats 60 minutes for the 99291. The left over 15 minutes meets the 1/2 way mark required for 99292

    If you have 110 minutes---10:00 to 11:50---code 99291 plus 99292 plus 99292. So thats 60 mintues for the 99291. That leaves 50 minutes left over. 30 of these 50 minutes meets the 99292. That leaves 20 mintues. This left over 20 minutes supports an additional 99292 cause the 20 minutes exceeds the 15 minutes (or 1/2 mark) that is required


    30 - 74 minutes 99291 x 1
    75 - 104 minutes 99291 x 1 and 99292 x 1

    105 - 134 minutes
    99291 x1 and 99292 x 2

    135 - 164 minutes
    99291 x 1 and 99292 x 3

    165 - 194 minutes
    99291 x 1 and 99292 x 4

  2. Default Critical care
    Okay, It is coming together . I was really confusing myself. Thanks again.
    Last edited by cathyflower; 05-27-2010 at 03:27 PM.

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