E/M Weekly Tip: Hospital Visit and Critical Care on Same Day

If a hospital inpatient or office/outpatient evaluation and management service (E/M) is furnished on a calendar date at which time the patient did not require critical care and the patient subsequently requires critical care, both the critical care services (CPT codes 99291 and 99292) and the previous E/M service may be paid on the same date of service.

For more information, please visit the Medicare Claims Processing Manual, 100-04, chapter 12, section 30.6.9 A at CMS website (PDF, 1.12 MB).