It should be very simple - the guidelines state - "A critical illness or injury actually impairs one or more vital organ systems such that there is a high probability or intermittent or life threatening deterioration in the patient's condition". Ask the physician which organ system meets this requirement and where it is documented in the note!!
I have done ER coding for a group that has multiple hospitals they service, although not trauma center, and it is absolutely rate they will bill 99291.
Just because you are in a trauma center, you cannot ignore the guidelines or you will 'pass go and not collect the money and go directly to jail'. Just ask them if it is worth their license.
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