Ask a Rev Cycle Expert: Coding for Urgent and Critical Care?
If a patient goes to an Urgent Care center and receives care defined as critical care, can the Urgent Care center report Current Procedural Terminology (CPT®) codes 99291 CRITICAL CARE FIRST HOUR and 99292 CRITICAL CARE ADDL 30 MIN?
Yes, the Urgent Care Center may bill for CPT® codes 99291 or 99292 Critical Care when the services defined as critical care are performed. Code selection is not dependent upon the site of service, but is dependent upon meeting the definition of being critical care.
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