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Frequently Asked Questions

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How do you report Critical Care Services (99291 and 99292) when it is provided by physicians with the same specialty within the same group practice to a patient on the same day?

The code for the Initial Critical Care Services (99291) may only be reported by one physician in the same group practice if he/she has the same specialty as another physician who also performed critical care services for a patient. The physician billing this code must provide critical care services for at least the minimum amount of time associated with this code in either single session or multiple sessions cumulative throughout the day.
 
Subsequent critical care visits performed on the same calendar date may represent aggregate time met by a single physician or physicians in the same group practice with the same medical specialty in order to meet the duration of minutes required for CPT code 99292.


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