Forum - Questions & Answers
Dec 27th, 2012 - kbeaz
Admission to hospital/Critical care
If you admit a patient to hospital (Medicare patient) ; can you bill for admission-99223 and critical care 99291 using 25 modifier on admission?
Dec 27th, 2012 - ch76606 123
re: Admission to hospital/Critical care
No. Combine the 2 e & m's and bill only one.
Dec 27th, 2012 - nmaguire 2,606
re: Admission to hospital/Critical care
If admitted in critical condition requiring critical care, report only 99291-99292.
But for an admit and later same day turned critical: The Medicare Carriers Manual states that “if there is a hospital or office/outpatient [E/M] service furnished early in the day and at that time the patient does not require critical care, but the patient requires critical care later in the day, both critical care and the [E/M] service may be paid.”
