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Thread: Critical Care v. Inpatient admission

  1. #1

    Default Critical Care v. Inpatient admission

    AAPC: Back to School
    Hello!! Can anyone help guide me in the right direction? When a patient is seen in the PCP's office and then is admitted to the hospital when is it appropriate to use the critical care code of 99291 vs. the inpatient admission of 99221? Or is it ever appropriate? Thanks!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Critical Care

    Please see the CPT book for guidelines.

    When the patient is critically ill -AND-
    the physician provides at least 30 minutes of direct, face-to-face, critical care
    you code the services as 99291-99292.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    Thank you!!!!!

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