Place of Services: Critical Care

Question 1

Critical Care Services used for direct delivery of medical care for:

Answer 1

critically ill or injured patient by a qualified healthcare professional–often involving:

*high-complexity decision making to assess and treat life-threatening deterioration or damage

*transport of critically ill or injured patient’s to or from another hospital or facility

Question 2

Services include:
1.
2.
3.
4.
5.
6.
7.
8.

Answer 2

Services include:
1. interpreting cardiac output measurements
2. chest x-rays
3. pulse oximetry
4. blood gases
5. collection and interpretation physiological data
6. temporary transcutaneous pacing
7. ventilatory management
8. vascular access procedures

Question 3

Services rendered to infants:

Answer 3

*28 days or younger (neonates) critical care codes: 99468-99469

*29 days (about 4 weeks)-71 months (about 6 years) are reported with pediatric critical care codes: 99471-99476

Question 4

Coding Key Factor to consider is Time:

Answer 4

*Primary Code: 99291 (first 30-74 minutes)

*Add-On Code: 99292 (used for each additional 30 minutes block)

Question 5

To Code Procedures:

Answer 5

*Translate given time into minutes and round up each 30 minute block:

Service:
1 hour and 45 minutes=105 minutes (99291/once) & (99292/twice)=74+30+1(rounds up to 30)

Question 6

Common Procedures Performed During Critical Care Services Reported Separately:

Answer 6

CPR: 92950
Intubation: 31500
Central Line Placement: 36620-36640, 36555, 36556, 36560