Results 1 to 4 of 4

Two dumb questions! Trauma Bay and 9928X

  1. Default Two dumb questions! Trauma Bay and 9928X
    Medical Coding Books
    So I am billing professional services for a trauma doc. He gave me paperwork that shows Critical Care time 1:06 which I know is 99291. Should I also be billing for a 9928x along with the trauma code 99291 ?? Also, the Doc says he sees the Patient in the "Trauma Bay", face sheet lists "Emergency Trauma" not sure if my POS is 21 or 23.

    Thank you in advance
    Lynn

  2. Default Don't think so.
    Also if your are billing for Critical Care, you would not also bill for a 99281-5 for the same encounter.

    Jim

  3. Default
    Thank you, can you tell if a patient is presented in the Trauma Bay and called in as Trauma, can I bill a 99291 for say concussion or do I need to change the CPT code to something different??? So confused...Keep in mind, patient place of service is 23 at this point.

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by bill2doc View Post
    Thank you, can you tell if a patient is presented in the Trauma Bay and called in as Trauma, can I bill a 99291 for say concussion or do I need to change the CPT code to something different??? So confused...Keep in mind, patient place of service is 23 at this point.
    I would carefully read the section describing Critcal Care Services in the CPT book that precedes the critial care E/M codes. Critical care is intended to indicate that the patient is need an extremely high level of care due to the extent of their medical condition. Generally there is single or multiple organ failure involved. A concussion could qualify depending on the severity of the injury and if the patient is in a life threatening situation. Just because a patient is in a Trauma area in the ER does not automatically quality for Critical Care.
    Last edited by ajs; 11-03-2011 at 06:15 PM. Reason: correction
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Dumb Question?
    By bpowell121774 in forum General Surgery
    Replies: 2
    Last Post: 03-08-2013, 05:31 AM
  2. dumb question
    By BABS37 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 03-01-2012, 03:31 PM
  3. dumb question?
    By PLAIDMAN in forum Orthopaedics
    Replies: 1
    Last Post: 01-26-2012, 01:39 PM
  4. dumb question...
    By kibbit99 in forum Orthopaedics
    Replies: 3
    Last Post: 09-11-2009, 11:42 AM

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?

Login

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.