Look for clarification, please advice how your practice handles scenario below. Thanks in advance - adiaz

Can you please help me clarify latest Critical Care - Med Learn article, especially page 9 of 15, last bullet and page 10 of 15 top bullet and example a) - http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5993.pdf

Dr. X and Dr. Y are in the same pulmonary practice and see the same pt

on the same day -

Dr. X renders initial Critical Care, documentation supports - 99291,

total time documented = 40 minutes.

Later on the same day, Dr. Y is called to see patient and renders

Critical Care services, documents 70 minutes.

Total Critical Care time for day = 110 minutes

According to MedLearn article, how should service be billed since

physician X and Y are in the same practice?

A) Dr. X will receive credit for total CC time (110) rendered for

day = 99291 x 1 and 99292 x 2

B) Dr. X will receive credit for 40 minutes = 99291 and

Dr. Y will receive credit for 70 minutes = 99292 x 2

If option B is submitted, will an edit be generated due to code 99292

being an "add on" code only that requires code 99291 to be submitted.

Can you please help me clarify latest Critical Care - Med Learn article, especially page 9 of 15, last bullet and page 10 of 15 top bullet and example a) - http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5993.pdf

Dr. X and Dr. Y are in the same pulmonary practice and see the same pt

on the same day -

Dr. X renders initial Critical Care, documentation supports - 99291,

total time documented = 40 minutes.

Later on the same day, Dr. Y is called to see patient and renders

Critical Care services, documents 70 minutes.

Total Critical Care time for day = 110 minutes

According to MedLearn article, how should service be billed since

physician X and Y are in the same practice?

A) Dr. X will receive credit for total CC time (110) rendered for

day = 99291 x 1 and 99292 x 2

B) Dr. X will receive credit for 40 minutes = 99291 and

Dr. Y will receive credit for 70 minutes = 99292 x 2

If option B is submitted, will an edit be generated due to code 99292

being an "add on" code only that requires code 99291 to be submitted.

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