ED Coding and Reimbursement Alert

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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

  • The interpretation of cardiac output measurements (93561, 93562)
  • Pulse oximetry (94760- 94762)
  • Chest X-rays, professional component (71045,71046)
  • Gastric intubation (43752-43753)
  • Temporary transcutaneous pacing (92953)
  • Ventilator management (94002-94004, 94660, 94662)
  • Vascular access procedures (36000, 36410, 36415, 36591, 36600)

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These Services Are Separately Reportable With Critical Care

  • CPR (92950)
  • Endotracheal intubation (31500)
  • Tube thoracostomy (32551)
  • EKG interpretations (93010, 93042)
  • Central venous catheter placement (36555-36556).