If a surgeon is admitting a patient to a nursing facility for a condition not related to the global surgical procedure, the physician should bill for the nursing facility admission and care with a “-24” modifier and appropriate documentation. NOTE: In order for codes 99291 or 99292 to be paid for services furnished during the preoperative or postoperative period, modifier “-25” or “-24,” respectively, must be used to indicate that the critical care was unrelated to the specific anatomic injury or general surgical procedure performed. The times for each level are listed in the table below:Īs with any other CPT coding issue, if you have any questions you may refer directly to your current copy of the AMA CPT book. The note must clearly state that greater than 50% of the total time was spent in counseling and/or coordination of care.Īn example of this documentation is as follows: Total visit 30 minutes, 20 minutes spent counseling patient on side ef ects of medication (99242). The content of the counseling and/or coordination of care must be documented.ģ. Total time of the visit must be documented.Ģ. The guidelines are very clear as to the proper way to document this occurrence. When is it appropriate to choose the level of E/M Consultation based on time? You may choose the level based on time when you have spent greater than 50% of the total time of the visit in counseling or coordination of care for your patient. Applicable FARS/DFARS apply.Ĭhoosing the level using Time as the deciding factor Italicized and/or quoted material is excerpted from the American Medical Association Current Procedural Terminology CPT codes, descriptions and other data only are copyrighted 1999 American Medical Association. A surgeon requests that another physician participate in post-operative care (provided that the physician did not perform a pre-operative consultation).Pre-operative consultation for a new or established patient performed by any physician at the request of the surgeon and.The documentation for consultations has been met (written request from an appropriate source and a written report furnished the requesting physician).The consultation is requested by members of the same group practice.The consultation is followed by treatment.
TREBS 99241 CODE
The CMS concurs with American Medical Association “Current Procedural Terminology (CPT)” guidelines related to physician reporting of inpatient and outpatient consultation services 99241-99243, 99244-99255:
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