COVID and Non Covid Critial Care Codes

 Erika Regulsky Billing & Collections, Medical Billing, Most Recent, Practice Management

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Action Patient evaluated via: E/M Telehealth
Who is performingPhysician / QHP
Applicable CPT Code(s)Critical Care Services
99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes + 99292 Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) (Use 99292 in conjunction with 99291)
Applicable ICD-10 CM codesNon-COVID-19 patient: Code applicable diagnoses COVID-19 patient: Code applicable diagnoses, add U07.1, COVID-19 (Effective April 1, 2020 CDC Announcement
Place of ServiceReport applicable site of care
Notes1 CMS requires use of modifier 95 for telehealth services; other payors may require its use 2 Individual states (through Executive Order) or payors may permit use of E/M codes with audio-only encounters.
 Appointment Scheduling using Robotic Process Automation

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I’m a multi-certified revenue cycle management professional and compliance officer with 20+ years of experience. I contribute articles to leading healthcare publications and journals. I am currently working as Senior Transition Manager, in BillingParadise headquartered at Diamond Bar, California. BillingParadise offers Medical Billing Services that intersect perfectly with the EMR/Practice management system you use.BillingParadise has offices in New Jersey, New York, Florida, Georgia, Minnesota, and Texas.


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