Colleagues, This post came from:
Lawrence Martinelli, MD, FACP, FIDSA Chief Medical Information Officer Medical Director, Case Management/Utilization Review Covenant Health Lubbock, TX There were difficulties with the email so I am sharing the below comments on his behalf. Dr. Martinelli writes: I would be cautious about following the previous advice about billing CPT(r) 99291 for an ED patient who presents for evaluation and has a normal lactate (<2) and is subsequently dismissed. It may be worthwhile to review the current CPT(r) Manual for the requirements needed to submit codes for Critical Care (99291, 99292). I would also caution against using vendor-supplied billing and coding advice, as I have seen inaccuracies in some of these documents. If there are questions or concerns, most hospitals have Clinical Documentation departments or Compliance Officers who can advise you.
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