Results 1 to 3 of 3

ER Trauma ER Emergency NEW NEED HELP

  1. Default ER Trauma ER Emergency NEW NEED HELP
    New Call-to-action
    Hello All,

    I currently bill for a doctor who does critical care 99291 and 99292. I am going to be taking on a physician that bills for ER and ER Trauma. Emergency and Acute.

    Can someone tell me if this is similar at all to critical care billing? All of my CC billing is inpatient 21 and I'm worried that there will be little changes like the POS that I don't know about.

    Any help would be greatly appreciated

    Thank you

  2. Default
    Critical Care billing,, i.e. 99291 and 99292, should be code driven based on providers of service fulfilling the criteria of the codes and not based on a doctor's specialty. A doctor can be a "critical care doctor" but not necessarily provide services that are considered critical care. Please read and then read again the definition of 99291 and 99292 in CPT and ensure your physician has done the same. This will ensure documentation and criteria are always met when billing these time based codes. Patient status must be well documented along with total critical care time provided for each date of service. Place of service, whether in the ED (pos 23) or Inpatient (pos 21) does not drive use of critical care, however providing critical care services to a patient who is not admitted (pos 23) or is admitted and discharged in the same day should be looked at closely. Also, critical care services must be provided for a minimum of at least 30 minutes; if trauma patient arrives and then expires under 30 minutes then you cannot bill critical care.
    I hope this is helpful.

  3. Default
    The above answer should help you when coding CC.
    The E/M codes used for ED are 99281-99285. You will also use a variety of CPT codes when coding ED. You will see a variety of vistis ranging from "worried well" to critical care.

Similar Threads

  1. trauma dx
    By lmeadows in forum Diagnosis Coding
    Replies: 6
    Last Post: 06-27-2014, 04:59 AM
  2. Trauma???
    By adri3421 in forum Auditing General Discussion
    Replies: 2
    Last Post: 06-13-2014, 05:32 PM
  3. Trauma
    By Kstrobel in forum General Surgery
    Replies: 0
    Last Post: 12-26-2013, 08:47 AM
  4. Help with Emergency Orthopaedic Trauma
    By pmogel in forum Orthopaedics
    Replies: 2
    Last Post: 11-18-2011, 08:34 AM
  5. ER Trauma ER Emergency NEW NEED HELP
    By bill2doc in forum Emergency Department
    Replies: 1
    Last Post: 09-01-2011, 02:44 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.