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procedure time vs critical time

  1. #1
    Kachina Coders
    Default procedure time vs critical time
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    Critical care time 99291, when a procedure is done such as a 31500, do you subtract the time for the procedure from the critical care time? Or is the procedure time included in the critical care time???
    Mesa, AZ

  2. #2
    You must subtract time for any separately billable service/procedure done from the critical care time. If it is not indicated how much time was spent on a procedure then you can not bill critical care, only the procedure.

    This is per direction from WPSMedicare.

    Laura, CPC, CPMA, CEMC

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