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Ask a Rev Cycle Expert: Critical Care Services and Vent Management?


When a patient receives critical care services 99291 or 99292 in the Emergency room on the same day as ventilator management charge 94002, can the facility report both?


Yes, you may report Current Procedural Terminology (CPT®) codes 99291-99292 Critical Care with CPT® code 94002 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day. For facility reporting, there is no National Correct Coding Initiative (NCCI) edit for the code pairs.

Of note, this is an instance where professional coding instructions differ from facility instructions.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).