donnaber
Guest
Hi:
Can someone please help with changes to critical care that took place effective April 1, 2013? In the following scenario how would you code and bill for physician initial critical care service followed by nurse practitioner/PA critical care service?
It is my understanding that for Medicare prior to 2013, CPT code 99292 could only be billed by same provider as CPT code 99291 since 99292 is an add on code. Prior to 2013 we would have billed all the critical care time (both physician and NP/PA) under the physician who performed the initial care.
After April 1, 2013 for Medicare purposes we would code and bill forwhoever performed the service; ie the physician who performed initial critical care would code and bill 99291; NP/PA would code and bill 99292.
Am I correct in my understanding, and can you point me to any guidance that validates this change in coding and billing.
Thanks so much!
Can someone please help with changes to critical care that took place effective April 1, 2013? In the following scenario how would you code and bill for physician initial critical care service followed by nurse practitioner/PA critical care service?
It is my understanding that for Medicare prior to 2013, CPT code 99292 could only be billed by same provider as CPT code 99291 since 99292 is an add on code. Prior to 2013 we would have billed all the critical care time (both physician and NP/PA) under the physician who performed the initial care.
After April 1, 2013 for Medicare purposes we would code and bill forwhoever performed the service; ie the physician who performed initial critical care would code and bill 99291; NP/PA would code and bill 99292.
Am I correct in my understanding, and can you point me to any guidance that validates this change in coding and billing.
Thanks so much!