CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Coding Critical Care Services | Webinar

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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CodingIntel members get access to our on-line library of coding resources, including regular updates on coding changes that affect your practice. Membership includes FREE access to all webinars! If you miss one, you can watch on-demand anytime.

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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.

Relevant Search Terms: Coding for critical care services, critical care services, global period, CMS critical care rules, CPT® critical care rules, billing for critical care services

- Betsy Nicoletti
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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.