Critical Care Services Coding Update
Recorded January 2023
CMS made significant changes to critical care coding effective in 2022. Not only did CMS adopt CPT prefatory language and rules, they did a 180 degree turn on allowing non-physician practitioners (NPPs) and physicians of the same specialty, in the same group to perform critical care as a split/shared visit. CMS developed a HCPCS modifier for shared services, that must be applied to the claim, and the claim must be submitted under the provider number of the practitioner who performed the substantive portion of the service. CMS developed a HCPCS modifier for unrelated critical care in the post op period. This webinar will describe when that modifier should be used.
After the webinar, participants will be able to:
- Describe what modifier to use for shared services
- Know how CMS determines the substantive portion of the service for critical care
- Assess when a separate E/M service may be reported on the same day with critical care
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*This program has the prior approval of AAPC for 1 continuing education credit. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
**Webinar access is limited to one phone line per registration/membership. Your office staff can listen in via speakerphone or your computer’s audio connection. Additional connections subject to additional fees. If purchasing on-demand, and CEUs are offered, they are only available to the purchaser.