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The Key Points For Billing And Coding Critical Care Services You Should Know Home / Blog / Coding / The Key Points For Billing And Coding Critical Care Services You Should Know
Posted on February 23, 2022 | By Mark | In Blog, Coding | Leave a comment
It is often difficult for a physician to decide whether to bill their patient for admission or critical care. This article will aid you or anyone working at a healthcare facility differentiate critical care services from any other service provided by your healthcare facility. Knowing the key points for billing and coding critical care services is essential to make your hospital management system efficient and feasible. Usually, critical care units will be seen occupied with patients facing the failure of their vital organ(s) such as CNS failure, intensive shock or trauma, respiratory failure, hepatic failure, etc. The latest technologies and machinery are used to treat these patients. The system required for critical care is complex and extensive. Hence, coding of critical care time and critical care billing is essential.
What is critical care? Critical care is the practice of provision of medical care for people who have life-threatening illnesses or injuries. While it’s similar to the ICU, it mostly caters specifically to those with cardiac disorders or other rapidly deteriorating conditions. The average critical care time in a critical care unit ranges from one to six days. Once a patient’s critical care time is over and their critical care billing is handled, they are shifted to a cardiac ‘step-down unit’ where they are provided with reduced intensive care.
What are critical care codes? Critical care time is essentially noted in codes to provide respected critical care billing. Some of the major critical care time codes are mentioned below. The CPT code 99291 codes for the critical care, management, and evaluation of a critically injured patient for a specific range: 30-74 minutes. The CPT code 99292 codes for the critical care, management, and evaluation of a critically injured patient for the range of 75-105 minutes. For every additional 30 minutes, the code increases by a number in the unit digit, such as: CPT code 99291×1 and 99292×2 for 105-134 minutes