This year, we saw a whole new crop of bundles with pediatric critical care and transport services. From January 1 this year, CPT changed ( Source cpt http://www.supercoder.com/cpt-codes/ ) which services are bundled into critical care codes 99291-99292 based on whether a facility or professional reports the services. What's more, now CPT returns the list of services bundled into 99466-99467 to the bundles that were in effect as of 2007.
This year, pediatricians from your practice will still face the following services as being bundled into critical care:
This year, pediatricians from your practice will still face the following services as being bundled into critical care:
Vascular access
But then, facilities will be able to report these services separately from critical care and will not face the bundles.
Note: This says that you can use the critical care code only, even if the facility is reporting the critical care codes as well as the separate x-rays, intubation, and other services for that matter separately.
You should now also stay away from reporting new observation care codes with other evaluation & management. This year CPT has added 99224-99226. Even though confusion surrounded these new codes when CPT first debuted them, some rules have recently come to light on ways you can report them.
Subsequent observation care: Subsequent observation care starts on the same date as initial observation care codes (99218-99220); nor can you report observation services on the same date as office or emergency department services. What's more, you cannot report the new subsequent observation codes on the same date as observation care discharge (99217).
But then, facilities will be able to report these services separately from critical care and will not face the bundles.
Note: This says that you can use the critical care code only, even if the facility is reporting the critical care codes as well as the separate x-rays, intubation, and other services for that matter separately.
You should now also stay away from reporting new observation care codes with other evaluation & management. This year CPT has added 99224-99226. Even though confusion surrounded these new codes when CPT first debuted them, some rules have recently come to light on ways you can report them.
Subsequent observation care: Subsequent observation care starts on the same date as initial observation care codes (99218-99220); nor can you report observation services on the same date as office or emergency department services. What's more, you cannot report the new subsequent observation codes on the same date as observation care discharge (99217).
