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Don't Forget The Services That Are Bundled into 99291 and +99292
Published on Mon Sep 17, 2018
The CPT® critical care preamble includes a specific list of services that are bundled in to code 99291 and should not be reported separately. These include the following:
- The interpretation of cardiac output measurements (93561, 93562);
- Pulse oximetry (94760- 94761, 94762);
- Chest x-rays, professional component (71045, 71046);
- Blood gases, and information data stored in computers (e.g., ECGs, blood pressures, hematologic data (99090);
- Gastric intubation (43752-43753);
- Temporary transcutaneous pacing (92953);
- Ventilator management (94002-94004, 94660, 94662); and
- Vascular access procedures (36000, 36410, 36415, 36591, 36600).
When your physician provides any of the above services during a critical care session, do not report them separately. However, facilities can report these services separately.
Non-bundles: However, you can report the below services separately from 99291 and +99292, as they are not bundled into critical care:
- CPR (92950);
- Endotracheal intubation (31500);
- Tube thoracostomy (32551);
- EKG interpretations (93010, 93042); and
- Central venous catheter placement (36555, 36556).