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Thread: critical care

  1. #11
    Join Date
    Apr 2007
    Greeley, Colorado


    AAPC: Back to School
    Samson - you should not need a -25 on 99292. That being said, some payers may require it because they like to create their own rules.
    Lisa Bledsoe, CPC, CPMA

  2. #12
    Join Date
    Apr 2007
    Milwaukee WI

    Default We use -25 on 99292

    It may seem evident that you shouldn't need it, but the hard reality is that the carriers sometimes won't pay without it.

    We use the -25 on both the 99291 and 99292 when there's a separately identifiable procedure from the critical care, and we get paid.

    F Tessa Bartels, CPC, CPC-E/M

  3. #13
    Join Date
    Apr 2007
    Hartford, CT


    I heard that Medicare won't typically pay for the 99292 anyway
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

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