Results 1 to 3 of 3

Critical Care - I am looking for clarification

  1. #1
    Default Critical Care - I am looking for clarification
    New Call-to-action
    I am looking for clarification on billing critical care. I bill for hospitalists. If more then one hospitalist (same specialty, same tax ID) sees a critically ill patient on the same day, how do you bill for it?
    One place I looked stated that if the 1st one states 60 minutes and the 2nd states 30 minutes, you bill 99291 for the 1st and 99292 for the 2nd. The other place I looked stated you bill both codes for just one of the providers.
    Any clarification I can get would be very helpful. Thank you.

  2. #2
    Salt Lake North
    Go to and click on "Case Archives". Watch the one dated 7/28 of this year. It explaines this in detail.

  3. Default critical care
    Hi, I also bill for hospitalists. You need to bill both critical care services under the first dr that saw the patient 99291 and 99292 for each additional 30 minutes for the second dr. There can only be one physician in a 24 hr period (with same tax id) that can bill critical care. In our office because we need to give credit for each physicians service, we bill the second dr 99291 and no claim the charge. So they each credit but only one is actually billed to insurance. Hope this helps. Suzanne

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.