99291

  1. Y

    Wiki CCS MediCal Modifiers -HA & -TG

    Hi all - I am trying to find guidance for the billing and reimbursement of critical care codes, for CCS MediCal. June 1st, the reporting codes changed from Z0100-Z0108 to the use of CPT E/M codes. Modifiers -HA and -TG are to be used on codes 99291 & 99292. By nature of the CCS parameters...
  2. christinav

    Wiki Critical Care Audit Question

    I am currently auditing Critical Care Services and there is a physician who provides the EHR signed document that does not indicate that it is a Critical Care document, but will then Write using a normal pen on the bottom of the last page stating the total time spent providing critical care...
  3. A

    Wiki Specialist called into NCCU-what code would you use?

    We have a solo pediatric infectious disease specialist who sees many neonatal patients in NCCU. All other insurance companies (mostly Medicaid products) pay when he bills 99291/99291 for these patients who are very young and critically ill. We have 1 insurance company that refuses to read and...
    • arosborne
    • Thread
    • 99291 99292 infectious disease nccu pediatric
    • Replies: 2
    • Forum: Pediatrics
  4. B

    Wiki Initial Newborn Coding

    The newborn was fine at birth, but developed problems 3-4 hours later. Our provider wrote his note at age 6 hours and said the baby had respiratory distress. Another provider from the same group saw the baby and wrote her note at age 8 hours, describing critical care treatment. She felt the...
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