ED Coding and Reimbursement Alert
Know What’s Included in the Critical Care Codes
Although there are some services that you can report along with the critical care codes (99291-+99292), others are bundled into the services. Check out the lists below to ensure you don’t inaccurately report services with critical care when insurers specifically bar you from billing them. These Services Are Included in Critical Care These Services Are Separately Reportable With Critical Care
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ED Coding and Reimbursement Alert
- ED Payments:
CMS Delivers Both Pros and Cons in the Latest Fee Schedule
Plus: The updated fee schedule also includes changes to the conversion factor, telehealth list. If [...] - Critical Care:
Check This Primer to Understand When Modifiers Apply to Critical Care
Modifier 25 isn’t always billable, this expert says. When your ED specialists perform critical care, [...] - Clip And Save:
Know What’s Included in the Critical Care Codes
Although there are some services that you can report along with the critical care codes [...] - You Be the Coder:
Can You Report 2 Units of Infusion Code?
Question: Progress notes indicate that my ED provider performed an intravenous (IV) infusion for therapy. [...] - Reader Questions:
Check ICD-10-CM Guidelines for Info on Observation Diagnoses
Question: Should we report the observation diagnosis codes (Z03-Z05) as primary diagnoses or secondary? Or [...] - Reader Questions:
Consider Whether External Cause Codes Fit the Bill
Question: One of our ED physicians recently performed a reduction of a traumatic fracture for [...] - Reader Questions:
Clarify How to Report Facial Palsy
Question: Our ED physician performed a level-four E/M service; the notes read that the patient suffered [...] - Reader Questions:
You’ll Need Multiple Dx Codes for Multiple Injuries
Question: Encounter notes indicate that the ED provider treated a patient for “laceration, peroneal muscle [...]
