Health Information Management

Tip: Note which services are separately reportable with critical care

APCs Insider, November 9, 2012

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The CPT® Editorial Panel revised its guidance for ­critical care CPT codes 99291 (critical care, evaluation and ­management of the critically ill or critically injured patient; first 30-74 minutes) and 99292 (critical care, evaluation and management of the critically ill or critically injured ­patient; each additional 30 minutes) to specifically state that, for hospital reporting purposes, critical care codes do not include specified ancillary services.

Separately reportable services include:
  • Interpretation of cardiac output measurements (CPT codes 93561, 93562)
  • Chest x-rays (71010, 71015, 71020)
  • Blood draw for specimen (36415)
  • Blood gases and information data stored in ­computers (e.g., ECGs, blood pressures, hematologic data) (99090)
  • Gastric intubations (43752, 43753)
  • Pulse oximetry (94760, 94761, 94762)
  • Temporary transcutaneous pacing (92953)
  • Ventilator management (94002-94004, 94660, 94662)
  • Vascular access procedures (36000, 36410, 36415, 36591, 36600)
The tip is adapted from “Ensure accurate reporting and coding of critical care” in the October Briefings on APCs.



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