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CRITICAL CARE

CRITICAL care . FACT SHEET. CPT Codes If documentation supports medical necessity but the amount of time is NOT documented; the service will be denied. It is a requirement that the time spent providing CPT Code 99291 ( CRITICAL care , evaluation and the care be documented. management of the critically ill or critically injured patient;. first 30-74 minutes) If documentation supports CRITICAL care but is less than 30 minutes total in duration on a given calendar date, CPT Code 99292 (each additional 30 minutes, list do not report the service as CRITICAL care . Use another separately in addition to code for primary service).

PAGE 1 • CREATED FEBRUARY 6, 2014 • UPDATED JULY 14, 2014 © 2014 Copyright, CGS Administrators, LLC. This fact sheet is for informational purposes only and is not

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